SARAH GIDAN DEITCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055703

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

GIDAN

Last Name

DEITCH

Business Name

SARAH GIDAN DEITCH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

MEQUON

State

Zip

53092

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/13/2009