ADAM DAVID DERHAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122291

License Status

ACTIVE

Business

First Name

ADAM

Middle

DAVID

Last Name

DERHAKE

Suffix

Business Name

ADAM DAVID DERHAKE MD

Original Issue Date

12/04/2008

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/19/2023