DANIEL EDWARD LANZOTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

DANIEL EDWARD

Last Name

LANZOTTI

Suffix

Business Name

DANIEL EDWARD LANZOTTI MD

Original Issue Date

01/01/1997

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023