LARRY MATTHEW DEPPE 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

LARRY

Middle

MATTHEW

Last Name

DEPPE

Suffix

Business Name

LARRY MATTHEW DEPPE MD

Original Issue Date

07/14/2008

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014