Jerry Adiel Douglas Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019013588

Status

Expired (Not Renewed)

First issued

July 14, 1969

Expired

September 30, 2002

License holder

Jerry Adiel Douglas Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/14/1969

Ever disciplined

Yes

Discipline case

1984000697

Discipline action

Probation

Discipline dates

09/20/1985 to 09/20/1986

Other Illinois licenses under this name

• IL
  Jerry Adiel Douglas Dmd

  License 31*****37

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Harrisburg, IL

  Expired Sep 30, 2002

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