JUANITA K DECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074167

License Status

NOT RENEWED

Business

First Name

JUANITA K

Last Name

DECKER

Suffix

Business Name

JUANITA K DECKER MD

Original Issue Date

11/21/1986

Effective Date

11/21/1986

Expiration Date

07/31/2005

City

THOMSON

State

Zip

30824

County

GEORGIA

Ever Disciplined

LastModifiedDate

05/27/2010