PHILIP GERARD CONRARDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

GERARD

Last Name

CONRARDY

Business Name

PHILIP GERARD CONRARDY MD

Original Issue Date

09/18/2012

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

MUSKEGO

State

Zip

53150

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023