DOUGLAS E CLEVELAND Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109221

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

CLEVELAND

Business Name

DOUGLAS E CLEVELAND

Original Issue Date

05/13/2003

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

WICHITA

State

Zip

67208

County

KANSAS

Ever Disciplined

LastModifiedDate

04/12/2017