THOMAS DERK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061932

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

DERK

Suffix

Business Name

THOMAS DERK MD

Original Issue Date

04/02/1981

Effective Date

04/02/1981

Expiration Date

07/31/1987

City

GREELEY

State

Zip

80634

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006