DANIEL JOHN DEZIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061749

License Status

ACTIVE

Business

First Name

DANIEL JOHN

Last Name

DEZIEL

Suffix

Business Name

DANIEL JOHN DEZIEL MD

Original Issue Date

02/27/1981

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023