DANIEL STEPHEN PATRICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045166

License Status

EXPIRED

Business

First Name

DANIEL

Middle

STEPHEN

Last Name

PATRICK

Suffix

Business Name

DANIEL STEPHEN PATRICK MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006