AMBER MONICKE DOUGLAS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

MONICKE

Last Name

DOUGLAS

Business Name

AMBER MONICKE DOUGLAS DO

Original Issue Date

06/14/2024

Effective Date

06/14/2024

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2024