DIANA E LARDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112994

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

LARDY

Suffix

Business Name

DIANA E LARDY MD

Original Issue Date

01/28/2005

Effective Date

07/22/2008

Expiration Date

07/31/2011

City

MADISON DANE COUNTY

State

Zip

53704

Ever Disciplined

LastModifiedDate

11/14/2011