JOHN T GIRARDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

GIRARDI

Suffix

Business Name

JOHN T GIRARDI MD

Original Issue Date

07/22/1992

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

MURPHYSBORO

State

Zip

62966

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023