DERRICK ANDREW CHRISTOPHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

DERRICK

Middle

ANDREW

Last Name

CHRISTOPHER

Business Name

DERRICK ANDREW CHRISTOPHER MD

Original Issue Date

08/30/2017

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023