DANIEL BLAINE WILLIAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

BLAINE

Last Name

WILLIAMS

Business Name

DANIEL BLAINE WILLIAMS MD

Original Issue Date

10/26/1983

Effective Date

10/26/1983

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006