DANIAL K HALLAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094306

License Status

NOT RENEWED

Business

First Name

DANIAL K

Last Name

HALLAM

Business Name

DANIAL K HALLAM

Original Issue Date

10/02/1996

Effective Date

10/02/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006