JUSTIN THOMAS DANEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

THOMAS

Last Name

DANEK

Business Name

JUSTIN THOMAS DANEK MD

Original Issue Date

06/24/2015

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023