DEEPAK SUBHASH MANDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

DEEPAK SUBHASH

Last Name

MANDI

Suffix

Business Name

DEEPAK SUBHASH MANDI MD

Original Issue Date

08/30/1996

Effective Date

08/30/1996

Expiration Date

07/31/2002

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006