DOUGLAS JAMES MARSHALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

JAMES

Last Name

MARSHALL

Suffix

Business Name

DOUGLAS JAMES MARSHALL MD

Original Issue Date

09/26/2001

Effective Date

09/26/2001

Expiration Date

07/31/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020