DEAN A LUSARDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

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

06/09/2023

Expiration Date

07/31/2026

City

FARGO

State

Zip

58102

County

CRAWFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023