INIS JANE BARDELLA MD - Medical Doctor License in Arkansas | # 33*****66

INIS JANE BARDELLA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

INACTIVE

Business

N

Title

MD

First Name

INIS

Middle

JANE

Last Name

BARDELLA

Business Name

INIS JANE BARDELLA MD

Original Issue Date

02/08/2012

Effective Date

04/26/2017

Expiration Date

09/30/2020

State

AR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020