BERNARDO A MARCOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

BERNARDO

Middle

Last Name

MARCOS

Business Name

BERNARDO A MARCOS MD

Original Issue Date

09/22/2015

Effective Date

06/14/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021