PARAKKAL DEEPAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054375

License Status

CANCELLED

Business

Title

First Name

PARAKKAL

Last Name

DEEPAK

Business Name

PARAKKAL DEEPAK MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

SAINT LOUIS

State

Zip

63124

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/21/2010