DANIEL TODD LYBBERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073232

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

TODD

Last Name

LYBBERT

Business Name

DANIEL TODD LYBBERT 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

Urology

Ever Disciplined

LastModifiedDate

03/06/2024