ALAN J DECKARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ALAN J

Last Name

DECKARD

Suffix

Business Name

ALAN J DECKARD MD

Original Issue Date

07/20/1993

Effective Date

07/20/1993

Expiration Date

07/31/1999

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020