SUE ANN DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099077

License Status

NOT RENEWED

Business

First Name

SUE

Middle

ANN

Last Name

DOUGLAS

Suffix

Business Name

SUE ANN DOUGLAS MD

Original Issue Date

09/21/1998

Effective Date

09/21/1998

Expiration Date

07/31/2002

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2017