KENNETH PATRICK DEPERSIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061510

License Status

NOT RENEWED

Business

First Name

KENNETH PATRICK

Last Name

DEPERSIO

Suffix

Business Name

KENNETH PATRICK DEPERSIO MD

Original Issue Date

01/16/1981

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

DOUGLAS

State

Zip

31533

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017