ROBIN R DETERDING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

ROBIN R

Last Name

DETERDING

Suffix

Business Name

ROBIN R DETERDING MD

Original Issue Date

01/29/1988

Effective Date

01/29/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006