FRED L SMARDO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

FRED L

Last Name

SMARDO JR

Suffix

Business Name

FRED L SMARDO JR MD

Original Issue Date

06/26/1996

Effective Date

06/26/1996

Expiration Date

07/31/1999

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006