PATRICIA A DETERS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032582

License Status

EXPIRED

Business

First Name

PATRICIA A

Last Name

DETERS

Business Name

PATRICIA A DETERS

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006