JEFFREY SCOTT DANETZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106529

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

SCOTT

Last Name

DANETZ

Business Name

JEFFREY SCOTT DANETZ MD

Original Issue Date

03/18/2002

Effective Date

03/18/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/04/2007