Cody Michael-Ty Deck Do

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125077949

Status

Inactive (Cancelled)

First issued

July 1, 2021

Expired

June 30, 2024

License holder

Cody Michael-Ty Deck

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Family Medicine

Current term began

07/01/2021

Other Illinois licenses under this name

• IL
  Cody Michael-Ty Deck Do

  License 036167608 · Cody Michael-Ty Deck

  Licensed Physician and Surgeon (Medical Board)
  Active

  Peoria, IL

  Expired Aug 31, 2026
• IL
  Cody Michael-Ty Deck Do

  License 33*****63 · Cody Michael-Ty Deck

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Peoria, IL

  Expired Aug 31, 2026

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