DANIEL A EBROON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097570

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

EBROON

Suffix

Business Name

DANIEL A EBROON MD

Original Issue Date

04/02/1998

Effective Date

04/02/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006