DANIEL J KRUSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035194

License Status

EXPIRED

Business

First Name

DANIEL

Middle

Last Name

KRUSE

Suffix

Business Name

DANIEL J KRUSE MD

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/30/1999

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006