AMY J DERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112935

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

DERICK

Suffix

Business Name

AMY J DERICK MD

Original Issue Date

01/19/2005

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

Ever Disciplined

LastModifiedDate

06/14/2023