DANIEL L REAVEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

REAVEN

Suffix

Business Name

DANIEL L REAVEN MD

Original Issue Date

06/03/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

KILDEER

State

Zip

60047

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023