PANY DECOSSARD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108905

License Status

INACTIVE

Business

First Name

PANY

Last Name

DECOSSARD

Suffix

Business Name

PANY DECOSSARD MD

Original Issue Date

03/31/2003

Effective Date

03/31/2003

Expiration Date

07/31/2005

City

DECKERVILLE

State

Zip

48427

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006