DANIEL P DUNHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

DANIEL P

Last Name

DUNHAM

Suffix

Business Name

DANIEL P DUNHAM MD

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020