DANIEL BLAINE WILLIAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067317

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

BLAINE

Last Name

WILLIAMS

Business Name

DANIEL BLAINE WILLIAMS MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2012

Case Number

2011005288

Action

Refuse To Renew

Discipline Start Date

04/25/2012

Discipline Reason

due to a sister-state discipline by the state of Alabama