MATTHEW JAMES DEGROOT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153834

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JAMES

Last Name

DEGROOT

Business Name

MATTHEW JAMES DEGROOT DO

Original Issue Date

07/24/2020

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

Ever Disciplined

LastModifiedDate

11/30/2023