DANIEL P LODER - Medical Doctor License in Illinois | # 125042967

DANIEL P LODER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042967

License Status

EXPIRED

Business

N

First Name

DANIEL

Middle

P

Last Name

LODER

Business Name

DANIEL P LODER

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2005

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006