DEREK VINCENT BOOTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102911

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

VINCENT

Last Name

BOOTON

Suffix

Business Name

DEREK VINCENT BOOTON MD

Original Issue Date

07/03/2000

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

OAK RIDGE

State

Zip

27310

Ever Disciplined

LastModifiedDate

01/14/2021