DANIEL MARK MAMMEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162397

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

MAMMEL

Business Name

DANIEL MARK MAMMEL MD

Original Issue Date

09/20/2022

Effective Date

09/20/2022

Expiration Date

07/31/2023

City

SHILOH

State

Zip

62269

Ever Disciplined

LastModifiedDate

11/30/2023