DOUGLAS JACK FREEMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106274

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

JACK

Last Name

FREEMAN

Business Name

DOUGLAS JACK FREEMAN

Original Issue Date

02/13/2002

Effective Date

02/13/2002

Expiration Date

07/31/2005

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006