License holder summary

DEREK LEE EISNOR is a Medical - Physician With A Temporary Permit To Practice Medicine licensed to practice in Alaska. The address on file for DEREK LEE EISNOR is 5804 RUDOLPH AVENUE SAINT AUGUSTINE FL 32080. This licensed professional license is current. The license was granted 02/01/2010 and expired on 08/01/2010.

Alaska

Division of Corporations, Business and Professional Licensing

DEREK LEE EISNOR
Medical - Physician With A Temporary Permit To Practice Medicine
License number
5492
Date granted
02/01/2010
Date expires
08/01/2010
Class
Medical - Physician With A Temporary Permit To Practice Medicine
Status
Licensed
Address
5804 RUDOLPH AVENUE SAINT AUGUSTINE FL 32080
alaskalicensing.com
ID 20459253
LAST UPDATED 2024-04-24 20:09:36 UTC

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