DENNIS PATRICK DERUELLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169405

License Status

ACTIVE

Business

Title

First Name

DENNIS

Middle

PATRICK

Last Name

DERUELLE

Business Name

DENNIS PATRICK DERUELLE MD

Original Issue Date

03/20/2024

Effective Date

03/20/2024

Expiration Date

07/31/2026

City

NASHVILLE

State

Zip

37205

Ever Disciplined

LastModifiedDate

09/23/2024