DOUGLAS JACK FREEMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034032

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

JACK

Last Name

FREEMAN

Business Name

DOUGLAS JACK FREEMAN

Original Issue Date

04/10/1996

Effective Date

04/10/1996

Expiration Date

04/02/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006