DANA MARIE DELACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

DANA

Middle

MARIE

Last Name

DELACH

Business Name

DANA MARIE DELACH MD

Original Issue Date

08/16/2016

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023