DANIEL MARK STEIN 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

Title

First Name

DANIEL

Middle

MARK

Last Name

STEIN

Business Name

DANIEL MARK STEIN MD

Original Issue Date

09/15/2011

Effective Date

09/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014