DANIELA HUERTA DE HATHAWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

DANIELA

Last Name

HUERTA DE HATHAWAY

Business Name

DANIELA HUERTA DE HATHAWAY MD

Original Issue Date

03/10/2011

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020