DERRICK EARNEST ROLLO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122306

License Status

ACTIVE

Business

First Name

DERRICK

Middle

EARNEST

Last Name

ROLLO

Suffix

Business Name

DERRICK EARNEST ROLLO DO

Original Issue Date

12/08/2008

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/22/2023