DOUGLAS A PEPPLE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055113

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

Last Name

PEPPLE

Business Name

DOUGLAS A PEPPLE

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/27/2008