ZACHARIAH H DOUGLAS II MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071707

License Status

INACTIVE

Business

Title

First Name

ZACHARIAH

Middle

Last Name

DOUGLAS

Suffix

Business Name

ZACHARIAH H DOUGLAS II MD

Original Issue Date

09/27/1985

Effective Date

05/20/2008

Expiration Date

07/31/2011

City

FORT MYERS

State

Zip

33913

Ever Disciplined

LastModifiedDate

05/20/2008