DANIEL ANTHONY LIESEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115999

License Status

ACTIVE

Business

First Name

DANIEL

Middle

ANTHONY

Last Name

LIESEN

Suffix

Business Name

DANIEL ANTHONY LIESEN MD

Original Issue Date

05/23/2006

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/21/2023