EDIE L DERIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020751

License Status

EXPIRED

Business

First Name

EDIE L

Last Name

DERIAN

Suffix

Business Name

EDIE L DERIAN MD

Original Issue Date

05/08/1987

Effective Date

05/08/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006