DOUGLAS GLEN DORMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110961

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

GLEN

Last Name

DORMAN

Suffix

Business Name

DOUGLAS GLEN DORMAN MD

Original Issue Date

03/08/2004

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

07/15/2023