JEREMY DWAINE DAIGLE 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

JEREMY

Middle

DWAINE

Last Name

DAIGLE

Business Name

JEREMY DWAINE DAIGLE MD

Original Issue Date

06/11/2012

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023