DIANA M DESANTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082485

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

DESANTIS

Suffix

Business Name

DIANA M DESANTIS MD

Original Issue Date

05/28/1991

Effective Date

05/28/1991

Expiration Date

07/31/1993

City

SHAKER HEIGHTS

State

Zip

44120

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006