DEREK DENTON LYLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138625

License Status

NOT RENEWED

Business

Title

First Name

DEREK

Middle

DENTON

Last Name

LYLE

Business Name

DEREK DENTON LYLE MD

Original Issue Date

07/09/2015

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

ENCINITAS

State

Zip

92024

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021