CHRISTIAN A DANIELS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

CHRISTIAN A

Last Name

DANIELS

Suffix

Business Name

CHRISTIAN A DANIELS MD

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

07/31/1993

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020