BARRY T DAUGHTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

BARRY T

Last Name

DAUGHTRY

Suffix

Business Name

BARRY T DAUGHTRY MD

Original Issue Date

07/02/1996

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020