DOUGLAS BRUCE PATTON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042862

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

BRUCE

Last Name

PATTON

Business Name

DOUGLAS BRUCE PATTON

Original Issue Date

06/23/2001

Effective Date

06/23/2001

Expiration Date

06/22/2002

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006