DENICIA SHANE DWARICA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061902

License Status

EXPIRED

Business

First Name

DENICIA

Middle

SHANE

Last Name

DWARICA

Suffix

Business Name

DENICIA SHANE DWARICA MD

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2016

City

OKLAHOMA CITY

State

Zip

73104

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

08/16/2016