DOUGLAS RAY DEBENHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

RAY

Last Name

DEBENHAM

Suffix

Business Name

DOUGLAS RAY DEBENHAM MD

Original Issue Date

08/21/1998

Effective Date

09/12/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025