DAVID JOHN LADIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JOHN

Last Name

LADIN

Business Name

DAVID JOHN LADIN MD

Original Issue Date

04/03/2017

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023