NORMAN MATTHEW DECKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066354

License Status

EXPIRED

Business

Title

First Name

NORMAN

Middle

MATTHEW

Last Name

DECKER

Business Name

NORMAN MATTHEW DECKER MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/22/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019