DOUGLAS B UNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106722

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

UNIS

Suffix

Business Name

DOUGLAS B UNIS MD

Original Issue Date

04/08/2002

Effective Date

04/08/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006