DOUGLAS C DESPAIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023253

License Status

EXPIRED

Business

First Name

DOUGLAS C

Last Name

DESPAIN

Suffix

Business Name

DOUGLAS C DESPAIN MD

Original Issue Date

04/12/1989

Effective Date

04/12/1989

Expiration Date

07/01/1992

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006