DAN SOTOLONGO JIMENEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153273

License Status

NOT RENEWED

Business

Title

First Name

DAN

Last Name

SOTOLONGO JIMENEZ

Business Name

DAN SOTOLONGO JIMENEZ MD

Original Issue Date

06/08/2020

Effective Date

06/08/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023