KOBIE ITALO DOUGLAS MD 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

KOBIE

Middle

ITALO

Last Name

DOUGLAS

Suffix

Business Name

KOBIE ITALO DOUGLAS MD

Original Issue Date

07/11/2006

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014