ALICE BRENNAN DANIELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

ALICE BRENNAN

Last Name

DANIELE

Suffix

Business Name

ALICE BRENNAN DANIELE MD

Original Issue Date

12/30/1993

Effective Date

12/30/1993

Expiration Date

07/31/1996

City

HANOVER PARK

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020