DEREK VINCENT BOOTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029692

License Status

EXPIRED

Business

First Name

DEREK

Middle

VINCENT

Last Name

BOOTON

Suffix

Business Name

DEREK VINCENT BOOTON MD

Original Issue Date

05/17/1993

Effective Date

05/17/1993

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006