License holder summary

DEREK B CHISM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for DEREK B CHISM is Philadelphia PA 19147. This medical practitioner license is not current. The license was granted 06/13/2001 and expired on 06/30/2004.

Department of State

Board of Medicine

DEREK B CHISM
Graduate Medical Trainee
License number
MT046635T
Date granted
06/13/2001
Date expires
06/30/2004
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19147
medicinepa.com
ID 37524140
LAST UPDATED 2026-03-16 03:09:09 UTC

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