MELODY J DERRICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114979

License Status

ACTIVE

Business

First Name

MELODY

Middle

Last Name

DERRICK

Suffix

Business Name

MELODY J DERRICK MD

Original Issue Date

12/13/2005

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/24/2023