DOUGLAS EDWIN MEYER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074039

License Status

EXPIRED

Business

Title

First Name

DOUGLAS

Middle

EDWIN

Last Name

MEYER

Business Name

DOUGLAS EDWIN MEYER DO

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022