COLIN P DERDEYN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089031

License Status

INACTIVE

Business

First Name

COLIN P

Last Name

DERDEYN

Suffix

Business Name

COLIN P DERDEYN MD

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/23/2015