ANTHONY J DECKERT DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079890

License Status

INACTIVE

Business

First Name

ANTHONY J

Last Name

DECKERT

Suffix

Business Name

ANTHONY J DECKERT DO

Original Issue Date

05/21/1990

Effective Date

05/21/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006