ALICE FAIRMAN DANIELS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025853

License Status

EXPIRED

Business

Title

First Name

ALICE

Middle

FAIRMAN

Last Name

DANIELS

Business Name

ALICE FAIRMAN DANIELS MD

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/06/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006