MICHAEL D DANNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

MICHAEL D

Last Name

DANNER

Business Name

MICHAEL D DANNER

Original Issue Date

11/02/1999

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024