MARTIN P GAGLIARDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

MARTIN

Middle

Last Name

GAGLIARDI

Business Name

MARTIN P GAGLIARDI MD

Original Issue Date

04/17/2007

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017