DANIEL M RIESENBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090047

License Status

INACTIVE

Business

First Name

DANIEL M

Last Name

RIESENBERG

Suffix

Business Name

DANIEL M RIESENBERG MD

Original Issue Date

12/22/1994

Effective Date

12/22/1994

Expiration Date

07/31/1999

City

PEORIA

State

Zip

85383

Ever Disciplined

LastModifiedDate

02/09/2007