DONALD CURTIS MARDIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

CURTIS

Last Name

MARDIS

Business Name

DONALD CURTIS MARDIS MD

Original Issue Date

09/08/2020

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023