DOUGLAS M SIDLE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

SIDLE

Business Name

DOUGLAS M SIDLE

Original Issue Date

05/25/2004

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023