JUSTIN THOMAS DANEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060799

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

THOMAS

Last Name

DANEK

Business Name

JUSTIN THOMAS DANEK MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

NEW LENOX

State

Zip

60451

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014