License holder summary

COREY LANE DETLEFS is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for COREY LANE DETLEFS is PHOENIX AZ 85024. This medical practitioner license is not current. The license was granted 09/05/1989 and expired on 12/31/1990.

Department of State

Board of Medicine

COREY LANE DETLEFS
Medical Physician And Surgeon
License number
MD044726E
Date granted
09/05/1989
Date expires
12/31/1990
Class
Medical Physician And Surgeon
Status
Inactive
Address
PHOENIX AZ 85024
medicinepa.com
ID 37603150
LAST UPDATED 2024-03-22 22:54:33 UTC

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