Primary Source Verification

The licensee search function of this website provides data extracted from our database and constitutes a Primary Source Verification.

Licensee Name:Derges, Patricia Ashton 
Profession Name:Assistant Physician 
Licensee Number:2017032792  
Expiration Date:1/31/2023 
Original Issue Date:9/8/2017 
Address:2005-K E Kearney Street 
Address Con't: 
City, State Zip:Springfield, MO 65803 
Practitioner DBA Name: 
Certification Type:Controlled Substance Rx Authority 
Other Actions:
Current Discipline Status:None