DANIEL STEPHEN PATRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113266

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

STEPHEN

Last Name

PATRICK

Suffix

Business Name

DANIEL STEPHEN PATRICK MD

Original Issue Date

03/16/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008