DAVID MITCHELL DEISHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MITCHELL

Last Name

DEISHER

Business Name

DAVID MITCHELL DEISHER MD

Original Issue Date

11/21/2012

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

CAPE GIRARDEAU

State

Zip

63703

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017