DANIELLE IKOMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Last Name

IKOMA

Business Name

DANIELLE IKOMA MD

Original Issue Date

08/11/2022

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023