DANIEL P DECAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

DANIEL P

Last Name

DECAMP

Suffix

Business Name

DANIEL P DECAMP MD

Original Issue Date

09/03/1982

Effective Date

09/03/1982

Expiration Date

07/31/1984

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006