MATTHEW DERRICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027391

License Status

EXPIRED

Business

First Name

MATTHEW

Last Name

DERRICK

Business Name

MATTHEW DERRICK

Original Issue Date

07/10/1991

Effective Date

07/10/1991

Expiration Date

07/08/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006