MARTE L DEPPERMANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

MARTE

Middle

Last Name

DEPPERMANN

Suffix

Business Name

MARTE L DEPPERMANN MD

Original Issue Date

04/20/2010

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023