DANIEL L STANTON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042604

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

Last Name

STANTON

Suffix

Business Name

DANIEL L STANTON JR MD

Original Issue Date

06/26/2001

Effective Date

06/26/2001

Expiration Date

06/25/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006