Physician Licenses in Delaware

License number
Delaware C1-0004512
Address 2
Wilmington, DE 19803
Category
Medical Practice
Issued Date
Mar 7, 1995
Expiration Date
Jun 30, 1997
Type
Physician M.D.
License number
Delaware C1-0004428
Address 2
Lewes, DE 19958
Category
Medical Practice
Issued Date
Oct 4, 1994
Expiration Date
Jun 30, 1999
Type
Physician M.D.
License number
Delaware TP-0002541
Category
Medical Practice
Type
Temporary Physician
License number
Delaware PA0197
Address 2
Newark, DE 19713
Category
Controlled Substances
Issued Date
Aug 31, 2005
Expiration Date
Jun 30, 2011
Type
Physician Assistant CSR
License number
Delaware MD5238
Address 2
Wilmington, DE 19804
Category
Controlled Substances
Issued Date
Oct 19, 2006
Expiration Date
Jun 30, 2009
Type
Physician CSR
License number
Delaware TP-0003066
Address 2
Newark, DE 19711
Category
Medical Practice
Issued Date
Jul 11, 2005
Expiration Date
Oct 11, 2005
Type
Temporary Physician
License number
Delaware PA0205
Address 2
Middletown, DE 19709
Category
Controlled Substances
Issued Date
Jun 8, 2006
Expiration Date
Jun 30, 2013
Type
Physician Assistant CSR