DEREK DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156045

License Status

NOT RENEWED

Business

Title

First Name

DEREK

Last Name

DOUGLAS

Business Name

DEREK DOUGLAS MD

Original Issue Date

03/15/2021

Effective Date

03/15/2021

Expiration Date

07/31/2023

City

CINCINNATI

State

Zip

45215

Ever Disciplined

LastModifiedDate

11/30/2023