DOUGLAS STANLEY VERRILL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064877

License Status

EXPIRED

Business

Title

First Name

DOUGLAS

Middle

STANLEY

Last Name

VERRILL

Business Name

DOUGLAS STANLEY VERRILL MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/25/2018