DAVID V LARDIZABAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154820

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

LARDIZABAL

Business Name

DAVID V LARDIZABAL MD

Original Issue Date

11/19/2020

Effective Date

11/19/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023