DANIELA HUERTA DE HATHAWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

DANIELA

Last Name

HUERTA DE HATHAWAY

Business Name

DANIELA HUERTA DE HATHAWAY MD

Original Issue Date

12/13/2013

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023