ALICE BRENNAN DANIELE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

ALICE BRENNAN

Last Name

DANIELE

Suffix

Business Name

ALICE BRENNAN DANIELE MD

Original Issue Date

11/01/1984

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023