KEVIN G DERUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081641

License Status

NOT RENEWED

Business

First Name

KEVIN G

Last Name

DERUS

Suffix

Business Name

KEVIN G DERUS MD

Original Issue Date

10/27/1990

Effective Date

10/27/1990

Expiration Date

07/31/1993

City

DELAFIELD

State

Zip

53018

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006