License holder summary

Derrick William Dvorak is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Derrick William Dvorak is Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 05/26/2010 and expired on 08/26/2010.

Indiana

Professional Licensing Agency

Derrick William Dvorak
Temporary Medical Doctor Permit
License number
99042489A
Date granted
05/26/2010
Date expires
08/26/2010
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6131129
LAST UPDATED 2024-04-08 04:55:55 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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