DOUGLAS A PEPPLE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

PEPPLE

Business Name

DOUGLAS A PEPPLE

Original Issue Date

09/17/2010

Effective Date

06/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014