DEREK S TURNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102759

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

TURNER

Business Name

DEREK S TURNER

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

07/31/2005

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006