MARY G DEPNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MARY G

Last Name

DEPNER

Suffix

Business Name

MARY G DEPNER MD

Original Issue Date

01/11/1988

Effective Date

01/11/1988

Expiration Date

07/31/1990

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006