DANIEL LAWRENCE UNDERBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

LAWRENCE

Last Name

UNDERBERG

Business Name

DANIEL LAWRENCE UNDERBERG MD

Original Issue Date

04/26/2022

Effective Date

04/26/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023