DANIEL JAY TEPPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

DANIEL JAY

Last Name

TEPPER

Suffix

Business Name

DANIEL JAY TEPPER MD

Original Issue Date

10/17/1997

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023