MARK R DETTRO MD SC - Medical Corporation License in Illinois | # 042006638

MARK R DETTRO MD SC

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006638

License Status

CANCELLED

Business

Y

Business Name

MARK R DETTRO MD SC

Original Issue Date

02/23/1990

Effective Date

02/23/1990

Expiration Date

01/01/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006