DOUGLAS E CLEVELAND - Medical Doctor License in Illinois | # 125040678

DOUGLAS E CLEVELAND

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040678

License Status

EXPIRED

Business

N

First Name

DOUGLAS

Middle

E

Last Name

CLEVELAND

Business Name

DOUGLAS E CLEVELAND

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006