PANY DECOSSARD MD - Medical Doctor License in Michigan | # 036108905

PANY DECOSSARD MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108905

License Status

INACTIVE

Business

N

First Name

PANY

Last Name

DECOSSARD

Suffix

MD

Business Name

PANY DECOSSARD MD

Original Issue Date

03/31/2003

Effective Date

03/31/2003

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006