DANIEL R MENDOZA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

MENDOZA

Business Name

DANIEL R MENDOZA

Original Issue Date

02/27/2003

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023