ROBERT J DERICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019744

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

DERICK

Business Name

ROBERT J DERICK

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

06/16/1989

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006