JEFFREY MICHAEL DERBAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065589

License Status

EXPIRED

Business

Title

First Name

JEFFREY

Middle

MICHAEL

Last Name

DERBAS

Business Name

JEFFREY MICHAEL DERBAS MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/19/2017