DANIELLE MARIE SOUTHERLAND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Middle

MARIE

Last Name

SOUTHERLAND

Business Name

DANIELLE MARIE SOUTHERLAND DO

Original Issue Date

06/14/2021

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023