DANIEL BROCK HEWITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

BROCK

Last Name

HEWITT

Business Name

DANIEL BROCK HEWITT MD

Original Issue Date

11/07/2016

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021