CECILIA BACERDO GERALDE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

CECILIA

Middle

BACERDO

Last Name

GERALDE

Business Name

CECILIA BACERDO GERALDE DO

Original Issue Date

06/07/2016

Effective Date

06/07/2016

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017