LINDA A DERUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

LINDA A

Last Name

DERUM

Suffix

Business Name

LINDA A DERUM MD

Original Issue Date

09/19/1990

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023