ADAM ROBERT DOUGLAS MD - Medical Doctor License in Arizona | # 036154546

ADAM ROBERT DOUGLAS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154546

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ADAM

Middle

ROBERT

Last Name

DOUGLAS

Business Name

ADAM ROBERT DOUGLAS MD

Original Issue Date

10/19/2020

Effective Date

10/19/2020

Expiration Date

07/31/2023

State

AZ

Ever Disciplined

N

LastModifiedDate

11/30/2023