JASON DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150263

License Status

NOT RENEWED

Business

Title

First Name

JASON

Last Name

DOUGLAS

Business Name

JASON DOUGLAS MD

Original Issue Date

07/19/2019

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/30/2023