DANIEL EDWARD LANZOTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059316

License Status

NOT RENEWED

Business

First Name

DANIEL EDWARD

Last Name

LANZOTTI

Suffix

Business Name

DANIEL EDWARD LANZOTTI MD

Original Issue Date

08/27/1979

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023