DEEPAK G AZAD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096811

License Status

INACTIVE

Business

First Name

DEEPAK

Middle

Last Name

AZAD

Business Name

DEEPAK G AZAD

Original Issue Date

10/09/1997

Effective Date

10/09/1997

Expiration Date

07/31/2005

City

FLOYDS KNOBS

State

Zip

47119

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006