ZACHARIAH H DOUGLAS II MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016953

License Status

EXPIRED

Business

Title

First Name

ZACHARIAH

Middle

Last Name

DOUGLAS

Suffix

Business Name

ZACHARIAH H DOUGLAS II MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006