DANIEL JOSEPH DOUGLAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014656

License Status

EXPIRED

Business

First Name

DANIEL JOSEPH

Last Name

DOUGLAS

Suffix

Business Name

DANIEL JOSEPH DOUGLAS MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006