DANIEL C RENFRO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074644

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

Last Name

RENFRO

Business Name

DANIEL C RENFRO DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/30/2024