RICHARD A DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070497

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

DOUGLAS

Suffix

Business Name

RICHARD A DOUGLAS MD

Original Issue Date

05/02/1985

Effective Date

05/02/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006