DANIEL POWELL DOLAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077296

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

POWELL

Last Name

DOLAN

Business Name

DANIEL POWELL DOLAN MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/06/2024