PAUL JOSEPH DANIELSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066169

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

JOSEPH

Last Name

DANIELSKY

Business Name

PAUL JOSEPH DANIELSKY MD

Original Issue Date

08/01/2015

Effective Date

08/01/2015

Expiration Date

07/31/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Adult Reconstructive Orthopedics

Ever Disciplined

LastModifiedDate

04/08/2015