RAYMOND MICHAEL DEPA
Licensed Physician Controlled Substance
Illinois 336066716 Canceled
This Illinois license was held by RAYMOND MICHAEL DEPA. The license is no longer active. It was granted on 01/11/2002 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336066716
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 01/11/2002 (over 22 years ago)
- Expiry Date: 07/31/2005 (almost 19 years ago)
LOCATIONS
A Address
GEORGETOWN, KY 40324