DANIEL R WYNN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WYNN

Suffix

Business Name

DANIEL R WYNN MD

Original Issue Date

03/29/1988

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020