MICHELLE LOUISE DOUGLAS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162844

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

LOUISE

Last Name

DOUGLAS

Business Name

MICHELLE LOUISE DOUGLAS DO

Original Issue Date

11/07/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

07/07/2023