JAMES WALTER GIRARDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

JAMES WALTER

Last Name

GIRARDY

Suffix

Business Name

JAMES WALTER GIRARDY MD

Original Issue Date

01/01/1997

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020