CALEB ALBERT DANIEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063887

License Status

CANCELLED

Business

Title

First Name

CALEB

Middle

ALBERT

Last Name

DANIEL

Business Name

CALEB ALBERT DANIEL DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014