DAVID T DAINES MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

DAVID T

DAINES

MD

DAVID T DAINES MD

03/25/1985

03/25/1985

07/31/1987

OAK PARK

IL

60304

COOK

II III IV V

N

09/26/2006