ADAM ROBERT DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154546

License Status

NOT RENEWED

Business

Title

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

City

SCOTTSDALE

State

Zip

85266

Ever Disciplined

LastModifiedDate

11/30/2023