DOUGLASS B GIVEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074986

License Status

NOT RENEWED

Business

First Name

DOUGLASS B

Last Name

GIVEN

Suffix

Business Name

DOUGLASS B GIVEN MD

Original Issue Date

05/11/1987

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

MENLO PARK

State

Zip

94025

Ever Disciplined

LastModifiedDate

11/17/2014