DANIELLE ALYSSA WALES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082125

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Middle

ALYSSA

Last Name

WALES

Business Name

DANIELLE ALYSSA WALES MD

Original Issue Date

06/25/2023

Effective Date

06/25/2023

Expiration Date

06/24/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/11/2023