DANIEL ENRIQUE MAIDANA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073414

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

ENRIQUE

Last Name

MAIDANA

Business Name

DANIEL ENRIQUE MAIDANA MD

Original Issue Date

09/23/2019

Effective Date

09/23/2019

Expiration Date

09/22/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced Pediatric Ophthalmology Fellowship

Ever Disciplined

LastModifiedDate

09/23/2019