DANIEL HOMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

HOMER

Suffix

Business Name

DANIEL HOMER MD

Original Issue Date

09/06/1984

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020