DAVID LEE DOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034351

License Status

NOT RENEWED

Business

First Name

DAVID LEE

Last Name

DOUD

Suffix

Business Name

DAVID LEE DOUD MD

Original Issue Date

11/15/1956

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2011