CHARLES LEO DERUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059840

License Status

NOT RENEWED

Business

First Name

CHARLES LEO

Last Name

DERUS

Suffix

Business Name

CHARLES LEO DERUS MD

Original Issue Date

12/18/1979

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021