LAURA MICHELLE DOUGLAS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DMD

First Name

LAURA

Middle

MICHELLE

Last Name

DOUGLAS

Business Name

LAURA MICHELLE DOUGLAS DMD

Original Issue Date

07/21/2015

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60628

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024