GAEL L DEROUIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090983

License Status

NOT RENEWED

Business

First Name

GAEL L

Last Name

DEROUIN

Suffix

Business Name

GAEL L DEROUIN DO

Original Issue Date

06/22/1995

Effective Date

06/22/1995

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006