DERRIC ALLAN WHITESIDE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167587

License Status

ACTIVE

Business

Title

First Name

DERRIC

Middle

ALLAN

Last Name

WHITESIDE

Business Name

DERRIC ALLAN WHITESIDE DO

Original Issue Date

11/06/2023

Effective Date

11/06/2023

Expiration Date

07/31/2026

City

LAS VEGAS

State

Zip

89166

County

CLARK

Ever Disciplined

LastModifiedDate

03/16/2026