MARIA THERESIA GROSSE-PERDEKAMP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110021

License Status

ACTIVE

Business

First Name

MARIA

Middle

THERESIA

Last Name

GROSSE-PERDEKAMP

Suffix

Business Name

MARIA THERESIA GROSSE-PERDEKAMP MD

Original Issue Date

08/28/2003

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/13/2023