MARY G DEPNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074860

License Status

INACTIVE

Business

First Name

MARY G

Last Name

DEPNER

Suffix

Business Name

MARY G DEPNER MD

Original Issue Date

04/11/1987

Effective Date

04/11/1987

Expiration Date

07/31/1990

City

WELLSVILLE

State

Zip

14895

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006