GINA M DIEUDONNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085080

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

DIEUDONNE

Suffix

Business Name

GINA M DIEUDONNE MD

Original Issue Date

09/16/1992

Effective Date

09/16/1992

Expiration Date

07/31/2005

City

JACKSON

State

Zip

38305

County

MADISON

Ever Disciplined

LastModifiedDate

10/02/2006

Case Number

2005000284

Action

Probation

Discipline Start Date

10/18/2006

Discipline End Date

06/08/2015

Discipline Reason

Restored to indefinite probation.