JEFFREY JAMES DERR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040423

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

JAMES

Last Name

DERR

Suffix

Business Name

JEFFREY JAMES DERR MD

Original Issue Date

07/15/1999

Effective Date

07/15/1999

Expiration Date

07/14/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Occupational Medicine

Ever Disciplined

LastModifiedDate

09/22/2006