JOHN CARL DANNENFELDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059049

License Status

NOT RENEWED

Business

First Name

JOHN CARL

Last Name

DANNENFELDT

Suffix

Business Name

JOHN CARL DANNENFELDT MD

Original Issue Date

08/09/1979

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/30/2023