ANGELA MARIE DEROSA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095951

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

MARIE

Last Name

DEROSA

Business Name

ANGELA MARIE DEROSA DO

Original Issue Date

07/04/1997

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

SCOTTSDALE

State

Zip

85260

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2017007242

Action

Reprimand

Discipline Start Date

09/26/2017

Discipline Reason

due to sister-state discipline in the state of Arizona.