DOUGLAS JACKSON FIFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120104

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

JACKSON

Last Name

FIFE

Suffix

Business Name

DOUGLAS JACKSON FIFE MD

Original Issue Date

02/08/2008

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021