KATHERINE DORNAN DERBY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157085

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

DORNAN

Last Name

DERBY

Business Name

KATHERINE DORNAN DERBY MD

Original Issue Date

05/25/2021

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2023