DOUGLAS S FENTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087783

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

FENTON

Suffix

Business Name

DOUGLAS S FENTON MD

Original Issue Date

11/17/1993

Effective Date

11/17/1993

Expiration Date

07/31/1999

City

JACKSONVILLE

State

Zip

32224

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/10/2013