ALAN J DECKARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083428

License Status

NOT RENEWED

Business

First Name

ALAN J

Last Name

DECKARD

Suffix

Business Name

ALAN J DECKARD MD

Original Issue Date

09/10/1991

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023