DEEPA ANN CYRIAC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048050

License Status

EXPIRED

Business

First Name

DEEPA

Middle

ANN

Last Name

CYRIAC

Suffix

Business Name

DEEPA ANN CYRIAC MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2005

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006