DANIEL LEE MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134924

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

LEE

Last Name

MONTGOMERY

Business Name

DANIEL LEE MONTGOMERY MD

Original Issue Date

04/04/2014

Effective Date

04/04/2014

Expiration Date

07/31/2017

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017