DANIEL P DENNISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

DANIEL P

Last Name

DENNISON

Suffix

Business Name

DANIEL P DENNISON MD

Original Issue Date

12/01/1982

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021