DANIEL L ICENOGLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014188

License Status

EXPIRED

Business

First Name

DANIEL

Middle

Last Name

ICENOGLE

Suffix

Business Name

DANIEL L ICENOGLE MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

08/01/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006