LAWRENCE DARE KNEEZEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

LAWRENCE DARE

Last Name

KNEEZEL

Suffix

Business Name

LAWRENCE DARE KNEEZEL MD

Original Issue Date

11/24/1986

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014