DANIELLE ALEXIS DEINES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155956

License Status

NOT RENEWED

Business

Title

First Name

DANIELLE

Middle

ALEXIS

Last Name

DEINES

Business Name

DANIELLE ALEXIS DEINES DO

Original Issue Date

03/08/2021

Effective Date

03/08/2021

Expiration Date

07/31/2023

City

ROANOKE

State

Zip

24014

Ever Disciplined

LastModifiedDate

11/30/2023