MICHAEL D DEPRIEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069924

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

DEPRIEST

Suffix

Business Name

MICHAEL D DEPRIEST MD

Original Issue Date

12/03/1984

Effective Date

12/03/1984

Expiration Date

07/31/1987

City

COLUMBIA

State

Zip

65201

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006