DEREK ALAN LEIST DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038012269

License Status

INACTIVE

Business

Title

First Name

DEREK

Middle

ALAN

Last Name

LEIST

Business Name

DEREK ALAN LEIST DC

Original Issue Date

09/19/2012

Effective Date

09/19/2012

Expiration Date

07/31/2014

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

04/08/2014