NATHAN EVERETT DERHAMMER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046226

License Status

EXPIRED

Business

First Name

NATHAN

Middle

EVERETT

Last Name

DERHAMMER

Suffix

Business Name

NATHAN EVERETT DERHAMMER MD

Original Issue Date

06/22/2003

Effective Date

06/22/2003

Expiration Date

06/21/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006