GREGORY J DETERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

GREGORY J

Last Name

DETERS

Suffix

Business Name

GREGORY J DETERS MD

Original Issue Date

02/22/1994

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023