DERICK LAMONT THOMAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006357

License Status

ACTIVE

Business

First Name

DERICK

Middle

LAMONT

Last Name

THOMAS

Business Name

DERICK LAMONT THOMAS

Original Issue Date

09/20/2017

Effective Date

03/11/2026

Expiration Date

03/01/2028

City

PADUCAH

State

Zip

42003

Ever Disciplined

LastModifiedDate

03/11/2026