DOUGLAS S HAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116739

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

Last Name

HAM

Business Name

DOUGLAS S HAM DO

Original Issue Date

08/10/2006

Effective Date

05/19/2015

Expiration Date

07/31/2017

City

PARKVILLE

State

Zip

64152

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017