WILLIAM IAN DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

IAN

Last Name

DOUGLAS

Suffix

Business Name

WILLIAM IAN DOUGLAS MD

Original Issue Date

09/08/1998

Effective Date

09/08/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006