ROBIN R DETERDING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019537

License Status

EXPIRED

Business

First Name

ROBIN R

Last Name

DETERDING

Suffix

Business Name

ROBIN R DETERDING MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

06/26/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006