MARY BETH LARDIZABAL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086639

License Status

NOT RENEWED

Business

First Name

MARY BETH

Last Name

LARDIZABAL

Suffix

Business Name

MARY BETH LARDIZABAL DO

Original Issue Date

06/30/1993

Effective Date

06/30/1993

Expiration Date

07/31/1996

City

EAGAN

State

Zip

55121

Ever Disciplined

LastModifiedDate

09/20/2006