DERRICK B TARTT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023973

License Status

EXPIRED

Business

First Name

DERRICK B

Last Name

TARTT

Suffix

Business Name

DERRICK B TARTT MD

Original Issue Date

05/24/1989

Effective Date

05/24/1989

Expiration Date

06/21/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006