DAVID H DECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

DAVID H

Last Name

DECKER

Suffix

Business Name

DAVID H DECKER MD

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020