DEREK VINCENT BOOTON MD - Medical Doctor License in North Carolina | # 036102911

DEREK VINCENT BOOTON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102911

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

VINCENT

Last Name

BOOTON

Suffix

MD

Business Name

DEREK VINCENT BOOTON MD

Original Issue Date

07/03/2000

Effective Date

06/26/2017

Expiration Date

09/30/2020

State

NC

Ever Disciplined

N

LastModifiedDate

01/14/2021