JEROME THOMAS DALY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

JEROME THOMAS

Last Name

DALY

Suffix

Business Name

JEROME THOMAS DALY DO

Original Issue Date

01/01/1997

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023