LARISA GEORGY CIATLOS-DEAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

LARISA

Middle

GEORGY

Last Name

CIATLOS-DEAK

Business Name

LARISA GEORGY CIATLOS-DEAK MD

Original Issue Date

07/14/2020

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023