JEFFREY JAMES DERR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

JAMES

Last Name

DERR

Suffix

Business Name

JEFFREY JAMES DERR MD

Original Issue Date

03/08/2000

Effective Date

03/08/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006