LARRY MATTHEW DEPPE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046541

License Status

EXPIRED

Business

First Name

LARRY

Middle

MATTHEW

Last Name

DEPPE

Suffix

Business Name

LARRY MATTHEW DEPPE MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/31/2008