KEVIN G DERUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

KEVIN G

Last Name

DERUS

Suffix

Business Name

KEVIN G DERUS MD

Original Issue Date

11/29/1990

Effective Date

11/29/1990

Expiration Date

07/31/1993

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006