DEREK LEE FIMMEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

DEREK

Middle

LEE

Last Name

FIMMEN

Business Name

DEREK LEE FIMMEN MD

Original Issue Date

03/13/2007

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023