DANIEL ELLIOT HAWTHORNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ELLIOT

Last Name

HAWTHORNE

Business Name

DANIEL ELLIOT HAWTHORNE MD

Original Issue Date

10/28/2016

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023