MARK D GRIFFITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

GRIFFITH

Suffix

Business Name

MARK D GRIFFITH MD

Original Issue Date

12/03/1982

Effective Date

12/03/1982

Expiration Date

07/31/1987

City

LACROSSE

State

Zip

54601

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006