The holder whose full name is West, Derek Lamont,come from Chicago IL,hold the Physician license(NO.01051255A) which status is Expired Non-Renewable.
| Name | West, Derek Lamont |
|---|---|
| License Number | 01051255A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Chicago |
| State | IL |