SUE ANN DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

SUE

Middle

ANN

Last Name

DOUGLAS

Suffix

Business Name

SUE ANN DOUGLAS MD

Original Issue Date

09/23/1998

Effective Date

09/23/1998

Expiration Date

07/31/2002

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006