JUDITH L MARCIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

MARCIN

Business Name

JUDITH L MARCIN

Original Issue Date

12/31/2002

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

ST PETERSBURG

State

Zip

33710

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021