PATRICIA A DETERS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095780

License Status

ACTIVE

Business

First Name

PATRICIA A

Last Name

DETERS

Business Name

PATRICIA A DETERS

Original Issue Date

06/25/1997

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2023