STEPHEN RICHARD DANNEWITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

RICHARD

Last Name

DANNEWITZ

Suffix

Business Name

STEPHEN RICHARD DANNEWITZ MD

Original Issue Date

03/28/2007

Effective Date

06/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011