DANIEL A COLON HIDALGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

Last Name

COLON HIDALGO

Business Name

DANIEL A COLON HIDALGO MD

Original Issue Date

03/11/2020

Effective Date

03/11/2020

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021