DOUGLAS E MAYFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046492

License Status

NOT RENEWED

Business

First Name

DOUGLAS E

Last Name

MAYFIELD

Suffix

Business Name

DOUGLAS E MAYFIELD MD

Original Issue Date

09/18/1972

Effective Date

09/18/1972

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006