DANIEL P DENNISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065607

License Status

NOT RENEWED

Business

First Name

DANIEL P

Last Name

DENNISON

Suffix

Business Name

DANIEL P DENNISON MD

Original Issue Date

11/09/1982

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021