License holder summary

Edward Justin Derrick is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Edward Justin Derrick is Ohio State University Hospitals, c/o Corporate Credentialing Office, 700 Ackerman Road Ste #570, Columbus, OH 43202. This licensed professional license is not current. The license was granted 10/31/2013 and expired on 06/16/2014.

Ohio

Board of Licensing

Edward Justin Derrick
Medical Board - 57.Md Training Certificate
License number
57.023864
Date granted
10/31/2013
Date expires
06/16/2014
Class
Medical Board - 57.Md Training Certificate
Status
Failed to Renew
Address
Ohio State University Hospitals, c/o Corporate Credentialing Office, 700 Ackerman Road Ste #570, Columbus, OH 43202
ohiolicensing.org
ID 29545412
LAST UPDATED 2024-03-19 01:29:01 UTC

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