BRIAN DERTLI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086413

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

DERTLI

Business Name

BRIAN DERTLI DO

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/08/2025