ANDREA LYNN DESTORIES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146796

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

LYNN

Last Name

DESTORIES

Business Name

ANDREA LYNN DESTORIES MD

Original Issue Date

07/05/2018

Effective Date

07/05/2018

Expiration Date

09/30/2020

City

CARSON CITY

State

Zip

89706

Ever Disciplined

LastModifiedDate

01/14/2021