JOY ALLISON DERWENSKUS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113948

License Status

NOT RENEWED

Business

Title

First Name

JOY

Middle

ALLISON

Last Name

DERWENSKUS

Business Name

JOY ALLISON DERWENSKUS DO

Original Issue Date

06/21/2005

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017