DEREK LAMONT WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

LAMONT

Last Name

WEST

Suffix

Business Name

DEREK LAMONT WEST MD

Original Issue Date

07/17/2001

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014