DERRICK MICHAEL BROWN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

DERRICK

Middle

MICHAEL

Last Name

BROWN

Business Name

DERRICK MICHAEL BROWN

Original Issue Date

06/25/2009

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/10/2026