DERRICK RYAN DARNSTEADT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047423

License Status

EXPIRED

Business

First Name

DERRICK

Middle

RYAN

Last Name

DARNSTEADT

Suffix

Business Name

DERRICK RYAN DARNSTEADT MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006