DANIEL J UFERT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

UFERT

Business Name

DANIEL J UFERT

Original Issue Date

09/19/2002

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011