License holder summary

Derric Allan Whiteside is a Osteopathic Physician licensed to practice in Indiana. The address on file for Derric Allan Whiteside is Alexandria VA 22304. This licensed professional license is current. The license was granted 04/01/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Derric Allan Whiteside
Osteopathic Physician
License number
02003810A
Date granted
04/01/2011
Date expires
10/31/2015
Class
Osteopathic Physician
Status
Active
Address
Alexandria VA 22304
indianalicensing.org
ID 6009032
LAST UPDATED 2024-05-03 05:05:29 UTC

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