ROBIN R DETERDING MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076547

License Status

INACTIVE

Business

First Name

ROBIN R

Last Name

DETERDING

Suffix

Business Name

ROBIN R DETERDING MD

Original Issue Date

01/09/1988

Effective Date

01/09/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006