The holder whose full name is Tartt, Derrick Barron,come from Chicago IL,hold the Physician license(NO.01061177A) which status is Expired.
| Name | Tartt, Derrick Barron |
|---|---|
| License Number | 01061177A |
| License Type | Physician |
| License Status | Expired |
| City | Chicago |
| State | IL |