DANIEL J ANZIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

INACTIVE

Business

First Name

DANIEL J

Last Name

ANZIA

Suffix

Business Name

DANIEL J ANZIA MD

Original Issue Date

01/01/1997

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2020