DOUGLAS E CLEVELAND Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

CLEVELAND

Business Name

DOUGLAS E CLEVELAND

Original Issue Date

01/13/2004

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017