DEBAPRIYA DE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

DEBAPRIYA

DE

MD

DEBAPRIYA DE MD

01/09/2007

06/16/2014

07/31/2017

BALLWIN

MO

63021

MACON

PRACTITIONER

II III IV V

N

11/01/2017