AMBER DEPTOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154107

License Status

NOT RENEWED

Business

Title

First Name

AMBER

Last Name

DEPTOLA

Business Name

AMBER DEPTOLA MD

Original Issue Date

08/27/2020

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

DES PERES

State

Zip

63131

Ever Disciplined

LastModifiedDate

11/30/2023