DOUGLAS BENJAMIN MAINS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038371

License Status

INACTIVE

Business

First Name

DOUGLAS BENJAMIN

Last Name

MAINS

Suffix

Business Name

DOUGLAS BENJAMIN MAINS MD

Original Issue Date

04/16/1963

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006