DANIEL T CHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

CHA

Suffix

Business Name

DANIEL T CHA MD

Original Issue Date

10/17/2007

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023