JAMES JOHN LAGUARDIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

JOHN

Last Name

LAGUARDIA

Business Name

JAMES JOHN LAGUARDIA MD

Original Issue Date

10/24/2000

Effective Date

09/20/2017

Expiration Date

09/30/2020

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021