DERYK SPENCER ANDERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125687

License Status

NOT RENEWED

Business

Title

First Name

DERYK

Middle

SPENCER

Last Name

ANDERSON

Business Name

DERYK SPENCER ANDERSON DO

Original Issue Date

05/05/2010

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

HERMISTON

State

Zip

97838

County

OREGON

Ever Disciplined

LastModifiedDate

11/17/2014