DANIEL A DETHMERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

DANIEL A

Last Name

DETHMERS

Suffix

Business Name

DANIEL A DETHMERS MD

Original Issue Date

02/22/1989

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014