DAN H DOLAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104227

License Status

NOT RENEWED

Business

First Name

DAN

Middle

Last Name

DOLAN

Business Name

DAN H DOLAN

Original Issue Date

02/20/2001

Effective Date

02/20/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006