DOUGLAS W DOTHAGER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

DOUGLAS W

Last Name

DOTHAGER

Business Name

DOUGLAS W DOTHAGER

Original Issue Date

10/20/1995

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023