DOUGLAS GLEN DORMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

GLEN

Last Name

DORMAN

Suffix

Business Name

DOUGLAS GLEN DORMAN MD

Original Issue Date

04/06/2004

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

YORKVILLE

State

Zip

60560

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023