DEREK GENE KROLL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142262

License Status

NOT RENEWED

Business

Title

First Name

DEREK

Middle

GENE

Last Name

KROLL

Business Name

DEREK GENE KROLL DO

Original Issue Date

01/24/2017

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

NEW CANEY

State

Zip

77357

Ever Disciplined

LastModifiedDate

11/30/2023