CYPRIAN A GARDINE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113544

License Status

NOT RENEWED

Business

First Name

CYPRIAN

Middle

Last Name

GARDINE

Business Name

CYPRIAN A GARDINE

Original Issue Date

04/25/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SOUTH BEND

State

Zip

46614

Ever Disciplined

LastModifiedDate

11/06/2008