MARTE L DEPPERMANN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052385

License Status

EXPIRED

Business

First Name

MARTE

Middle

Last Name

DEPPERMANN

Suffix

Business Name

MARTE L DEPPERMANN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010