DEBAPRIYA DE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117432

License Status

INACTIVE

Business

First Name

DEBAPRIYA

Last Name

Suffix

Business Name

DEBAPRIYA DE MD

Original Issue Date

01/09/2007

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/11/2017