DERRICK LLOYD FARMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064581

License Status

CANCELLED

Business

Title

First Name

DERRICK

Middle

LLOYD

Last Name

FARMER

Business Name

DERRICK LLOYD FARMER MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

01/19/2017