JEFFREY SCOTT DANETZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

SCOTT

Last Name

DANETZ

Business Name

JEFFREY SCOTT DANETZ MD

Original Issue Date

04/25/2002

Effective Date

04/25/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006