FREDERICK DANIEL LANDIS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057063

License Status

NOT RENEWED

Business

First Name

FREDERICK DANIEL

Last Name

LANDIS III

Suffix

Business Name

FREDERICK DANIEL LANDIS III MD

Original Issue Date

07/19/1978

Effective Date

07/19/1978

Expiration Date

07/01/1982

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006