HEATHER A DECKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111062

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

DECKER

Business Name

HEATHER A DECKER

Original Issue Date

03/22/2004

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021