DOUGLAS E EGLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079757

License Status

NOT RENEWED

Business

First Name

DOUGLAS E

Last Name

EGLEN

Suffix

Business Name

DOUGLAS E EGLEN MD

Original Issue Date

03/06/1990

Effective Date

03/06/1990

Expiration Date

07/31/1993

City

KOKOMO

State

Zip

46902

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006