DANIEL MARK STEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054365

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

STEIN

Business Name

DANIEL MARK STEIN MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/28/2011