DAN D LE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146647

License Status

INACTIVE

Business

Title

First Name

DAN

Middle

Last Name

Business Name

DAN D LE MD

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/04/2020