DEREK W WEST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001318

License Status

EXPIRED

Business

Title

First Name

DEREK

Middle

Last Name

WEST

Business Name

DEREK W WEST MD

Original Issue Date

12/16/2019

Effective Date

12/16/2019

Expiration Date

06/15/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020