KATHERINE DORNAN DERBY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

DORNAN

Last Name

DERBY

Business Name

KATHERINE DORNAN DERBY MD

Original Issue Date

06/13/2022

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023