AMY SUSAN DERRY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009490

License Status

NOT RENEWED

Business

First Name

AMY

Middle

SUSAN

Last Name

DERRY

Business Name

AMY SUSAN DERRY

Original Issue Date

09/27/2001

Effective Date

09/27/2001

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006