WILLIAM SCOTT DEITCHE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098899

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

SCOTT

Last Name

DEITCHE

Suffix

Business Name

WILLIAM SCOTT DEITCHE DO

Original Issue Date

08/26/1998

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021