ZAKIYA VERONICA DOUGLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

ZAKIYA

Middle

VERONICA

Last Name

DOUGLAS

Business Name

ZAKIYA VERONICA DOUGLAS MD

Original Issue Date

02/26/2022

Effective Date

02/26/2022

Expiration Date

07/31/2023

City

EAST STROUDSBURG

State

Zip

18301

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023