MICHAEL H DEPREST Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079729

License Status

INACTIVE

Business

First Name

MICHAEL H

Last Name

DEPREST

Business Name

MICHAEL H DEPREST

Original Issue Date

03/24/1990

Effective Date

08/10/2017

Expiration Date

09/30/2020

City

ALBUQUERQUE

State

Zip

87109

Ever Disciplined

LastModifiedDate

04/05/2020