MARIO L GOSPODINOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

MARIO

Middle

Last Name

GOSPODINOFF

Suffix

Business Name

MARIO L GOSPODINOFF MD

Original Issue Date

08/20/1990

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/17/2014