DYLAN JOSEPH DOUGLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163698

License Status

ACTIVE

Business

Title

First Name

DYLAN

Middle

JOSEPH

Last Name

DOUGLAS

Business Name

DYLAN JOSEPH DOUGLAS MD

Original Issue Date

02/15/2023

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

04/10/2023