ERIN DOUGLAS UNDERWOOD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044009

License Status

EXPIRED

Business

Title

First Name

ERIN

Middle

DOUGLAS

Last Name

UNDERWOOD

Business Name

ERIN DOUGLAS UNDERWOOD DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006