AMY SUE GIFALDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

AMY

Middle

SUE

Last Name

GIFALDI

Business Name

AMY SUE GIFALDI MD

Original Issue Date

12/27/2016

Effective Date

12/27/2016

Expiration Date

07/31/2017

City

MADISON

State

Zip

47250

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017