MARK ALEXANDER GIRZADAS MD - Medical Doctor License in Wisconsin | # 33*****56

MARK ALEXANDER GIRZADAS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

ALEXANDER

Last Name

GIRZADAS

Suffix

MD

Business Name

MARK ALEXANDER GIRZADAS MD

Original Issue Date

05/07/2007

Effective Date

07/18/2011

Expiration Date

07/31/2014

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/11/2017