KATHERINE DORNAN DERBY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073316

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

DORNAN

Last Name

DERBY

Business Name

KATHERINE DORNAN DERBY MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/10/2018