DERICK P PASTERNAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092419

License Status

NOT RENEWED

Business

First Name

DERICK P

Last Name

PASTERNAK

Suffix

Business Name

DERICK P PASTERNAK MD

Original Issue Date

02/09/1996

Effective Date

02/09/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006