DENNIS A RETER DO Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020150-0002

License Status

NOT RENEWED

Business

First Name

DENNIS A

Last Name

RETER

Suffix

Business Name

DENNIS A RETER DO

Original Issue Date

02/26/1975

Effective Date

02/26/1975

Expiration Date

02/26/1976

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/18/2006