KARL TERRENCE DETERDING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

KARL TERRENCE

Last Name

DETERDING

Suffix

Business Name

KARL TERRENCE DETERDING MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006