EDIE L DERIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078627

License Status

NOT RENEWED

Business

First Name

EDIE L

Last Name

DERIAN

Suffix

Business Name

EDIE L DERIAN MD

Original Issue Date

03/28/1989

Effective Date

03/28/1989

Expiration Date

07/31/2002

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/19/2010