DEREK GENE KROLL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063639

License Status

EXPIRED

Business

Title

First Name

DEREK

Middle

GENE

Last Name

KROLL

Business Name

DEREK GENE KROLL DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

08/16/2016