DANIEL P CONGREVE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059091

License Status

INACTIVE

Business

First Name

DANIEL P

Last Name

CONGREVE

Suffix

Business Name

DANIEL P CONGREVE MD

Original Issue Date

08/20/1979

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

PORT ST LUCIE

State

Zip

34987

County

KANE

Ever Disciplined

LastModifiedDate

04/04/2023