MARY P DEDECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119444

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

DEDECKER

Suffix

Business Name

MARY P DEDECKER MD

Original Issue Date

09/25/2007

Effective Date

09/25/2007

Expiration Date

07/31/2008

City

DENVER

State

Zip

80222

County

COLORADO

Ever Disciplined

LastModifiedDate

11/06/2008