License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Deidra Fawn Muto	MD	Anatomic/Clinical Pathology	Verify Specialty Certification	Thomas Memorial Hospital 4605 MacCorkle Avenue SW South Charleston, WV (Kanawha)	SC

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	21489	Active	03/08/2004	6/30/2027
TMP	1173	Expired	01/27/2004	03/08/2004

Education History

School	Date Completed	Nature of Training
West Virginia University School Of Medicine	05/17/1998	Medical or Podiatric School
Medical University Of South Carolina College Of Medicine	6/30/2003	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Other License Action	07/27/2012	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.