DOUGLAS ROBERT ELLIOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

ROBERT

Last Name

ELLIOTT

Business Name

DOUGLAS ROBERT ELLIOTT MD

Original Issue Date

06/30/2008

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011