MARK F DANIELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

MARK F

Last Name

DANIELS

Suffix

Business Name

MARK F DANIELS MD

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

07/31/1999

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020