EMILY PROUGH DESANTIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164698

License Status

ACTIVE

Business

Title

First Name

EMILY

Middle

PROUGH

Last Name

DESANTIS

Business Name

EMILY PROUGH DESANTIS MD

Original Issue Date

05/15/2023

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

AUSTIN

State

Zip

78731

Ever Disciplined

LastModifiedDate

12/04/2023