DANIEL BENJAMIN GANS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

BENJAMIN

Last Name

GANS

Business Name

DANIEL BENJAMIN GANS MD

Original Issue Date

07/17/2018

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023