TENZIN DESA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138262

License Status

INACTIVE

Business

Title

First Name

TENZIN

Last Name

DESA

Business Name

TENZIN DESA MD

Original Issue Date

06/11/2015

Effective Date

06/11/2015

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/12/2017