NATHAN EVERETT DERHAMMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

NATHAN

Middle

EVERETT

Last Name

DERHAMMER

Suffix

Business Name

NATHAN EVERETT DERHAMMER MD

Original Issue Date

04/08/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023