ZACHARIAH H DOUGLAS II MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

CANCELLED

Business

Title

First Name

ZACHARIAH

Middle

Last Name

DOUGLAS

Suffix

Business Name

ZACHARIAH H DOUGLAS II MD

Original Issue Date

10/21/1985

Effective Date

05/20/2008

Expiration Date

07/31/2011

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2008