DANIEL MARK MAMMEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000693

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

MARK

Last Name

MAMMEL

Business Name

DANIEL MARK MAMMEL MD

Original Issue Date

02/13/2019

Effective Date

02/13/2019

Expiration Date

08/12/2019

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/13/2020