MICHAEL F SHOLTO DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061146

License Status

NOT RENEWED

Business

First Name

MICHAEL F SHOLTO

Last Name

DOUGLAS

Suffix

Business Name

MICHAEL F SHOLTO DOUGLAS MD

Original Issue Date

10/31/1980

Effective Date

10/31/1980

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006