MARK ALEXANDER GIRZADAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALEXANDER

Last Name

GIRZADAS

Suffix

Business Name

MARK ALEXANDER GIRZADAS MD

Original Issue Date

05/07/2007

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53217

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017