DANIEL O FAISAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

DANIEL O

Last Name

FAISAL

Suffix

Business Name

DANIEL O FAISAL MD

Original Issue Date

08/17/1990

Effective Date

08/17/1990

Expiration Date

07/31/1993

City

HICKORY HILLS

State

Zip

60457

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020