DAVID VIDAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

VIDAL

Suffix

Business Name

DAVID VIDAL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

PERCY

State

Zip

62272

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008