JENNIFER MARIE MARDOS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

MARDOS

Suffix

Business Name

JENNIFER MARIE MARDOS DO

Original Issue Date

04/21/2005

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

WEST CHESTER

State

Zip

45069

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014