MARC DANIEL HIRSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

MARC

Middle

DANIEL

Last Name

HIRSCH

Suffix

Business Name

MARC DANIEL HIRSCH MD

Original Issue Date

12/19/2003

Effective Date

12/19/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008