RAYMOND MICHAEL DEPA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105894

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

MICHAEL

Last Name

DEPA

Business Name

RAYMOND MICHAEL DEPA

Original Issue Date

11/27/2001

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

GEORGETOWN

State

Zip

40324

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017