DANIEL SEBASTIAN MEDINA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078801

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

SEBASTIAN

Last Name

MEDINA

Business Name

DANIEL SEBASTIAN MEDINA DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/30/2024