DOUGLAS RALPH NORMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043662

License Status

NOT RENEWED

Business

First Name

DOUGLAS RALPH

Last Name

NORMAN

Suffix

Business Name

DOUGLAS RALPH NORMAN MD

Original Issue Date

08/10/1970

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021