DOUGLAS M SIDLE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106579

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

SIDLE

Business Name

DOUGLAS M SIDLE

Original Issue Date

03/22/2002

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2023