DERIK KENT KING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120520

License Status

NOT RENEWED

Business

First Name

DERIK

Middle

KENT

Last Name

KING

Suffix

Business Name

DERIK KENT KING MD

Original Issue Date

04/09/2008

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63124

Ever Disciplined

LastModifiedDate

11/30/2023