MARY ANNE CO DEPAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101577

License Status

ACTIVE

Business

First Name

MARY ANNE

Middle

Last Name

DEPAZ

Suffix

Business Name

MARY ANNE CO DEPAZ MD

Original Issue Date

11/05/1999

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

Ever Disciplined

LastModifiedDate

04/14/2023