BRIAN PHILLIP DANIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

BRIAN PHILLIP

Last Name

DANIEL

Suffix

Business Name

BRIAN PHILLIP DANIEL MD

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

07/31/2002

City

DE KALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006