DAVID DOUGLAS ASMUSSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057846

License Status

NOT RENEWED

Business

First Name

DAVID DOUGLAS

Last Name

ASMUSSEN

Suffix

Business Name

DAVID DOUGLAS ASMUSSEN DO

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/01/1980

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006