MARCUS S DERANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

MARCUS S

Last Name

DERANIAN

Suffix

Business Name

MARCUS S DERANIAN MD

Original Issue Date

11/08/1984

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021