JOY ALLISON DERWENSKUS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039074

License Status

EXPIRED

Business

Title

First Name

JOY

Middle

ALLISON

Last Name

DERWENSKUS

Business Name

JOY ALLISON DERWENSKUS DO

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/17/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006