DERRICK B TARTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083803

License Status

NOT RENEWED

Business

First Name

DERRICK B

Last Name

TARTT

Suffix

Business Name

DERRICK B TARTT MD

Original Issue Date

12/05/1991

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

MIAMI GARDENS

State

Zip

33056

Ever Disciplined

LastModifiedDate

08/17/2016