DANIEL S NAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037867

License Status

CANCELLED

Business

First Name

DANIEL

Middle

Last Name

NAM

Suffix

Business Name

DANIEL S NAM MD

Original Issue Date

05/19/1998

Effective Date

05/19/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006