ROBERT DUANE DOUGLAS DMD - Dentist License in Illinois | # 021002025

ROBERT DUANE DOUGLAS DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002025

License Status

ACTIVE

Business

N

First Name

ROBERT

Middle

DUANE

Last Name

DOUGLAS

Suffix

DMD

Business Name

ROBERT DUANE DOUGLAS DMD

Original Issue Date

05/20/2002

Effective Date

07/18/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

07/18/2024