JOSE A DE PERIO III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089398

License Status

INACTIVE

Business

First Name

JOSE A

Last Name

DE PERIO III

Suffix

Business Name

JOSE A DE PERIO III MD

Original Issue Date

08/11/1994

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DEPEW

State

Zip

14043

Ever Disciplined

LastModifiedDate

04/17/2008