DANIEL A DETHMERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078172

License Status

NOT RENEWED

Business

First Name

DANIEL A

Last Name

DETHMERS

Suffix

Business Name

DANIEL A DETHMERS MD

Original Issue Date

11/23/1988

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014