DANIEL JOHN WALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037328

License Status

EXPIRED

Business

First Name

DANIEL

Middle

JOHN

Last Name

WALL

Suffix

Business Name

DANIEL JOHN WALL MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006