LAURENCE A BERARDUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078971

License Status

NOT RENEWED

Business

First Name

LAURENCE A

Last Name

BERARDUCCI

Suffix

Business Name

LAURENCE A BERARDUCCI MD

Original Issue Date

06/03/1989

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

BEULAH

State

Zip

81023

Ever Disciplined

LastModifiedDate

11/17/2014