DAPHNE EFREGINA DEMELLO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107205

License Status

NOT RENEWED

Business

First Name

DAPHNE

Middle

EFREGINA

Last Name

DEMELLO

Business Name

DAPHNE EFREGINA DEMELLO

Original Issue Date

06/13/2002

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

PHOENIX

State

Zip

85064

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/14/2011