MARIE ANTONIA VERSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

MARIE

Middle

ANTONIA

Last Name

VERSO

Business Name

MARIE ANTONIA VERSO MD

Original Issue Date

08/03/2012

Effective Date

08/03/2012

Expiration Date

07/31/2014

City

TEMPE

State

Zip

85282

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

11/17/2014