MARTIN JASON CITARDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

JASON

Last Name

CITARDI

Suffix

Business Name

MARTIN JASON CITARDI MD

Original Issue Date

05/27/1997

Effective Date

05/27/1997

Expiration Date

07/31/2002

City

RED BUD

State

Zip

62278

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006