DIRK MARCEL DHOSSCHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111613

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

MARCEL

Last Name

DHOSSCHE

Suffix

Business Name

DIRK MARCEL DHOSSCHE MD

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

07/31/2005

City

MADISON

State

Zip

39110

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

03/03/2015