JUANITA K DECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JUANITA K

Last Name

DECKER

Suffix

Business Name

JUANITA K DECKER MD

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

07/31/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2010