DAISY-SCARLETT MACCALLUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

DAISY-SCARLETT

Last Name

MACCALLUM

Business Name

DAISY-SCARLETT MACCALLUM MD

Original Issue Date

12/20/2021

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023