DANIEL P LODER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042967

License Status

EXPIRED

Business

First Name

DANIEL

Middle

Last Name

LODER

Business Name

DANIEL P LODER

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006