DANIEL RYAN LAURSEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070251

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

RYAN

Last Name

LAURSEN

Business Name

DANIEL RYAN LAURSEN DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/01/2017