DANIEL J NIEBRUGGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113085

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

Last Name

NIEBRUGGE

Business Name

DANIEL J NIEBRUGGE MD

Original Issue Date

02/16/2005

Effective Date

06/03/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023