ANTHONY J DECKERT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023714

License Status

EXPIRED

Business

First Name

ANTHONY J

Last Name

DECKERT

Suffix

Business Name

ANTHONY J DECKERT DO

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006