LAURENCE A BERARDUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

LAURENCE A

Last Name

BERARDUCCI

Suffix

Business Name

LAURENCE A BERARDUCCI MD

Original Issue Date

11/22/1996

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

PUEBLO

State

Zip

81008

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014