DANIEL JEEJAE ANSBRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071895

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

JEEJAE

Last Name

ANSBRO

Business Name

DANIEL JEEJAE ANSBRO MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/06/2024