DEREK SCOTT DAMROW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

DEREK

Middle

SCOTT

Last Name

DAMROW

Business Name

DEREK SCOTT DAMROW MD

Original Issue Date

11/02/2023

Effective Date

11/02/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/02/2023