DANIEL K PIPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068614

License Status

NOT RENEWED

Business

First Name

DANIEL K

Last Name

PIPER

Suffix

Business Name

DANIEL K PIPER MD

Original Issue Date

05/03/1984

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2021