WILLIAM IAN DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098986

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

IAN

Last Name

DOUGLAS

Suffix

Business Name

WILLIAM IAN DOUGLAS MD

Original Issue Date

09/02/1998

Effective Date

09/02/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2017