ALICE FAIRMAN DANIELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085657

License Status

ACTIVE

Business

Title

First Name

ALICE

Middle

FAIRMAN

Last Name

DANIELS

Business Name

ALICE FAIRMAN DANIELS MD

Original Issue Date

11/19/1992

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023