DANIEL MARK STEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128831

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

STEIN

Business Name

DANIEL MARK STEIN MD

Original Issue Date

08/22/2011

Effective Date

08/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014