DOUGLAS A EVANS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110469

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

EVANS

Business Name

DOUGLAS A EVANS

Original Issue Date

11/19/2003

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023