DOUGLAS WILLIAM LOSORDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

WILLIAM

Last Name

LOSORDO

Suffix

Business Name

DOUGLAS WILLIAM LOSORDO MD

Original Issue Date

01/17/2007

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

SCARSDALE

State

Zip

10583

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021