INIS JANE BARDELLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129581

License Status

INACTIVE

Business

Title

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

City

FAYETTEVILLE

State

Zip

72704

County

WASHINGTON

Ever Disciplined

LastModifiedDate

04/05/2020