EDWARD MERRIL DECTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159563

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

MERRIL

Last Name

DECTER

Business Name

EDWARD MERRIL DECTER MD

Original Issue Date

02/24/2022

Effective Date

08/24/2023

Expiration Date

07/31/2026

City

VERONA

State

Zip

07044

Ever Disciplined

LastModifiedDate

08/24/2023