CRYSTAL BANKS DANIELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152015

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

BANKS

Last Name

DANIELS

Business Name

CRYSTAL BANKS DANIELS MD

Original Issue Date

03/03/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2023