CRYSTAL BANKS DANIELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

BANKS

Last Name

DANIELS

Business Name

CRYSTAL BANKS DANIELS MD

Original Issue Date

04/14/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023