GREGORY J DETERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026205

License Status

EXPIRED

Business

First Name

GREGORY J

Last Name

DETERS

Suffix

Business Name

GREGORY J DETERS MD

Original Issue Date

04/18/1991

Effective Date

04/18/1991

Expiration Date

06/30/1994

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006