ALICE FAIRMAN DANIELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

ALICE

Middle

FAIRMAN

Last Name

DANIELS

Business Name

ALICE FAIRMAN DANIELS MD

Original Issue Date

11/24/1992

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023