DANIEL R WYNN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

WYNN

Suffix

Business Name

DANIEL R WYNN MD

Original Issue Date

09/21/1998

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023