FREDDIE LEON DANIELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

FREDDIE LEON

Last Name

DANIELS

Suffix

Business Name

FREDDIE LEON DANIELS MD

Original Issue Date

01/01/1997

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017