DANIEL RYAN LAURSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151422

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

RYAN

Last Name

LAURSEN

Business Name

DANIEL RYAN LAURSEN DO

Original Issue Date

12/23/2019

Effective Date

12/23/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021