ANTHONY H DEKKER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059566

License Status

NOT RENEWED

Business

First Name

ANTHONY H

Last Name

DEKKER

Suffix

Business Name

ANTHONY H DEKKER DO

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/31/1999

City

PHOENIX

State

Zip

85016

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006