DOUGLAS J MCDONALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

First Name

DOUGLAS J

Last Name

MCDONALD

Suffix

Business Name

DOUGLAS J MCDONALD MD

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

07/31/2002

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006