JOHN CHARLES DEPETRILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131998

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

CHARLES

Last Name

DEPETRILLO

Business Name

JOHN CHARLES DEPETRILLO MD

Original Issue Date

02/14/2013

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017