DEREK LAMONT WEST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037441

License Status

EXPIRED

Business

First Name

DEREK

Middle

LAMONT

Last Name

WEST

Suffix

Business Name

DEREK LAMONT WEST MD

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

06/22/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006