DEREK JOSEPH BROWN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046321

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

JOSEPH

Last Name

BROWN

Suffix

Business Name

DEREK JOSEPH BROWN MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

09/30/2006

City

BATAVIA

State

Zip

60304

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/03/2006