PETER BRETT DERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142142

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

BRETT

Last Name

DERMAN

Business Name

PETER BRETT DERMAN MD

Original Issue Date

12/28/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021