SUPREEYA DEAROMYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053408

License Status

NOT RENEWED

Business

First Name

SUPREEYA

Last Name

DEAROMYA

Suffix

Business Name

SUPREEYA DEAROMYA MD

Original Issue Date

08/25/1976

Effective Date

08/25/1976

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/20/2006