ELIZABETH ALEXANDRA DANIELS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000801

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

ALEXANDRA

Last Name

DANIELS

Business Name

ELIZABETH ALEXANDRA DANIELS MD

Original Issue Date

03/14/2021

Effective Date

03/14/2021

Expiration Date

09/13/2021

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022