PATRICK CARL DANIELS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

CARL

Last Name

DANIELS

Suffix

Business Name

PATRICK CARL DANIELS DO

Original Issue Date

04/20/2009

Effective Date

04/20/2009

Expiration Date

07/31/2011

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011