DANIEL T CHA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

DANIEL

T

CHA

MD

DANIEL T CHA MD

05/27/2004

06/12/2008

07/31/2011

CHICAGO

IL

60612

COOK

II III IV V

N

04/05/2020