DANIEL ENRIQUE MAIDANA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ENRIQUE

Last Name

MAIDANA

Business Name

DANIEL ENRIQUE MAIDANA MD

Original Issue Date

01/11/2021

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023