JEFFREY JAMES DERR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101961

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

JAMES

Last Name

DERR

Suffix

Business Name

JEFFREY JAMES DERR MD

Original Issue Date

02/15/2000

Effective Date

02/15/2000

Expiration Date

07/31/2005

City

SEATTLE

State

Zip

98107

Ever Disciplined

LastModifiedDate

04/10/2012