JOSEPH G SCAMARDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

SCAMARDO

Suffix

Business Name

JOSEPH G SCAMARDO MD

Original Issue Date

03/11/2005

Effective Date

03/11/2005

Expiration Date

07/31/2008

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008