DANIEL MARK CHASE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

CHASE

Business Name

DANIEL MARK CHASE MD

Original Issue Date

07/22/2010

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

HOOPESTON

State

Zip

60942

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023