DANIEL R WYMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

CANCELLED

Business

First Name

DANIEL R

Last Name

WYMA

Suffix

Business Name

DANIEL R WYMA MD

Original Issue Date

12/29/1981

Effective Date

12/29/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020