DANIEL M GEYNISMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

GEYNISMAN

Suffix

Business Name

DANIEL M GEYNISMAN MD

Original Issue Date

02/24/2010

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014