DANIEL C EBY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024911

License Status

EXPIRED

Business

First Name

DANIEL

Middle

Last Name

EBY

Business Name

DANIEL C EBY

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006