DANIEL STEPHEN PATRICK MD - Medical Doctor License in Illinois | # 125045166

DANIEL STEPHEN PATRICK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045166

License Status

EXPIRED

Business

N

First Name

DANIEL

Middle

STEPHEN

Last Name

PATRICK

Suffix

MD

Business Name

DANIEL STEPHEN PATRICK MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006