DANIEL T KANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

DANIEL T

Last Name

KANE

Suffix

Business Name

DANIEL T KANE MD

Original Issue Date

04/21/1992

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHATHAM

State

Zip

62629

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020