DEREK JOSEPH BROWN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

JOSEPH

Last Name

BROWN

Suffix

Business Name

DEREK JOSEPH BROWN MD

Original Issue Date

03/27/2007

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

MOOSEHEART

State

Zip

60539

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011