GINA M DIEUDONNE MD - Medical Doctor License in Tennessee | # 33*****80

GINA M DIEUDONNE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

N

First Name

GINA

Middle

M

Last Name

DIEUDONNE

Suffix

MD

Business Name

GINA M DIEUDONNE MD

Original Issue Date

05/06/1993

Effective Date

05/06/1993

Expiration Date

07/31/2005

State

TN

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/20/2021