HARRY JOHN DEPAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121848

License Status

NOT RENEWED

Business

First Name

HARRY

Middle

JOHN

Last Name

DEPAN

Business Name

HARRY JOHN DEPAN

Original Issue Date

08/26/2008

Effective Date

08/26/2008

Expiration Date

07/31/2011

City

SCHENECTADY

State

Zip

12308

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/14/2011