ERIN DOUGLAS UNDERWOOD DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****46

NOT RENEWED

N

DO

ERIN

DOUGLAS

UNDERWOOD

ERIN DOUGLAS UNDERWOOD DO

02/24/2005

02/24/2005

07/31/2008

CHICAGO

IL

60612

COOK

II III IV V

N

04/07/2011