DEIDRA ANSAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145969

License Status

NOT RENEWED

Business

First Name

DEIDRA

Last Name

ANSAH

Business Name

DEIDRA ANSAH

Original Issue Date

05/03/2018

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

CORALVILLE

State

Zip

52241

Ever Disciplined

LastModifiedDate

01/14/2021