DEAN A LUSARDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136115

License Status

ACTIVE

Business

Title

First Name

DEAN

Middle

Last Name

LUSARDI

Business Name

DEAN A LUSARDI MD

Original Issue Date

08/01/2014

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

FARGO

State

Zip

58102

County

CRAWFORD

Ever Disciplined

LastModifiedDate

04/12/2023