Jason Thomas Douglas
ExpiredIllinois license 085004489
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085004489
- Status
- Expired (Not Renewed)
- First issued
- October 5, 2012
- Expired
- March 1, 2014
- License holder
- Jason Thomas Douglas
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 10/05/2012
Contact
Shawnee, KS 66203
Kansas County