DEREK THOMAS DIRKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000727

License Status

EXPIRED

Business

Title

First Name

DEREK

Middle

THOMAS

Last Name

DIRKS

Business Name

DEREK THOMAS DIRKS MD

Original Issue Date

04/15/2018

Effective Date

04/15/2018

Expiration Date

10/14/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

02/21/2019