MARK R DETTRO MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006638

License Status

CANCELLED

Business

Business Name

MARK R DETTRO MD SC

Original Issue Date

02/23/1990

Effective Date

02/23/1990

Expiration Date

01/01/1994

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/26/2006