JONATHAN RICHARD DANIELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134976

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

RICHARD

Last Name

DANIELS

Business Name

JONATHAN RICHARD DANIELS MD

Original Issue Date

04/11/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

04/06/2023