JEFFREY P DANIEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054921

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

Last Name

DANIEL

Business Name

JEFFREY P DANIEL DO

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/10/2008