MARY ANNE CO DEPAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

MARY ANNE

Middle

Last Name

DEPAZ

Suffix

Business Name

MARY ANNE CO DEPAZ MD

Original Issue Date

05/31/2000

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023