DANIEL LATHAM KAISER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078835

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

LATHAM

Last Name

KAISER

Business Name

DANIEL LATHAM KAISER MD

Original Issue Date

07/08/2022

Effective Date

07/08/2022

Expiration Date

07/07/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/08/2022