DANIEL R JIMENEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065157

License Status

NOT RENEWED

Business

First Name

DANIEL R

Last Name

JIMENEZ

Suffix

Business Name

DANIEL R JIMENEZ MD

Original Issue Date

08/20/1982

Effective Date

08/20/1982

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/21/2007