DEJA SUTHIKANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048122

License Status

NOT RENEWED

Business

First Name

DEJA

Last Name

SUTHIKANT

Suffix

Business Name

DEJA SUTHIKANT MD

Original Issue Date

08/23/1973

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

SAINT JOSEPH

State

Zip

64506

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

1987002110

Action

Suspension

Discipline Start Date

10/21/1988

Discipline End Date

04/21/1989