DANIEL MARK SCHELLENBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104869

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

MARK

Last Name

SCHELLENBERG

Business Name

DANIEL MARK SCHELLENBERG

Original Issue Date

05/31/2001

Effective Date

05/31/2001

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006