DANIEL P LANGE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106192

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

LANGE

Business Name

DANIEL P LANGE

Original Issue Date

01/31/2002

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/23/2023