MARIAN GABRIEL TUDOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MARIAN

Middle

GABRIEL

Last Name

TUDOSE

Suffix

Business Name

MARIAN GABRIEL TUDOSE MD

Original Issue Date

05/14/2010

Effective Date

05/14/2010

Expiration Date

07/31/2011

City

HARTFORD

State

Zip

06103

County

CONNECTICUT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011