DOUGLAS RALPH NORMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

DOUGLAS RALPH

Last Name

NORMAN

Suffix

Business Name

DOUGLAS RALPH NORMAN MD

Original Issue Date

01/01/1997

Effective Date

08/25/2014

Expiration Date

07/31/2017

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020