DOUGLAS WADE MORELAND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158746

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

WADE

Last Name

MORELAND

Business Name

DOUGLAS WADE MORELAND DO

Original Issue Date

11/10/2021

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

07/18/2023