LOUIS A DEPORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037284

License Status

NOT RENEWED

Business

First Name

LOUIS A

Last Name

DEPORTER

Suffix

Business Name

LOUIS A DEPORTER MD

Original Issue Date

09/13/1961

Effective Date

09/13/1961

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006