MARY T DEGENEFFE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086895

License Status

INACTIVE

Business

First Name

MARY T

Last Name

DEGENEFFE

Suffix

Business Name

MARY T DEGENEFFE MD

Original Issue Date

07/21/1993

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

EDWARDSBURG

State

Zip

49112

County

MICHIGAN

Ever Disciplined

LastModifiedDate

06/21/2014