PAUL XAVIER DECKER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056504

License Status

EXPIRED

Business

First Name

PAUL

Middle

XAVIER

Last Name

DECKER

Business Name

PAUL XAVIER DECKER

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/07/2013