DAVID H DECKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014138

License Status

EXPIRED

Business

First Name

DAVID H

Last Name

DECKER

Suffix

Business Name

DAVID H DECKER MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006