STEPHEN RICHARD DANNEWITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

RICHARD

Last Name

DANNEWITZ

Suffix

Business Name

STEPHEN RICHARD DANNEWITZ MD

Original Issue Date

01/01/1997

Effective Date

10/18/2011

Expiration Date

07/31/2014

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014