DEREK CASPER WHITAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000610

License Status

EXPIRED

Business

First Name

DEREK

Middle

CASPER

Last Name

WHITAKER

Suffix

Business Name

DEREK CASPER WHITAKER MD

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

04/29/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006