DANIEL A EBROON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

EBROON

Suffix

Business Name

DANIEL A EBROON MD

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006