MARTHA D MCDANIEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013670

License Status

EXPIRED

Business

First Name

MARTHA

Middle

Last Name

MCDANIEL

Business Name

MARTHA D MCDANIEL

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

02/26/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006