AMBER MONICKE DOUGLAS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170595

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

MONICKE

Last Name

DOUGLAS

Business Name

AMBER MONICKE DOUGLAS DO

Original Issue Date

06/14/2024

Effective Date

06/14/2024

Expiration Date

07/31/2026

City

DAYTON

State

Zip

45402

Ever Disciplined

LastModifiedDate

05/01/2024