DANIEL JOSEPH DOUGLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

DANIEL JOSEPH

Last Name

DOUGLAS

Suffix

Business Name

DANIEL JOSEPH DOUGLAS MD

Original Issue Date

03/16/1984

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023