FRANK L DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065078

License Status

NOT RENEWED

Business

First Name

FRANK L

Last Name

DOUGLAS

Suffix

Business Name

FRANK L DOUGLAS MD

Original Issue Date

08/11/1982

Effective Date

08/11/1982

Expiration Date

07/31/1990

City

NEW PROVIDENCE

State

Zip

07974

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006