ROLLAND LEE DOUBLEDAY JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069728

License Status

EXPIRED

Business

Title

First Name

ROLLAND

Middle

LEE

Last Name

DOUBLEDAY

Suffix

Business Name

ROLLAND LEE DOUBLEDAY JR MD

Original Issue Date

11/16/2016

Effective Date

11/16/2016

Expiration Date

11/15/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/13/2020