GEORGE SAMUEL DEEPE SR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

CANCELLED

Business

First Name

GEORGE SAMUEL

Last Name

DEEPE SR

Suffix

Business Name

GEORGE SAMUEL DEEPE SR MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006