DAVID PERRY DEETER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057634

License Status

NOT RENEWED

Business

First Name

DAVID PERRY

Last Name

DEETER

Suffix

Business Name

DAVID PERRY DEETER MD

Original Issue Date

09/25/1978

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021