CARL WAYNE HARDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124648

License Status

NOT RENEWED

Business

Title

First Name

CARL

Middle

WAYNE

Last Name

HARDIN

Business Name

CARL WAYNE HARDIN MD

Original Issue Date

11/19/2009

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

SANTA FE

State

Zip

87501

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017