DANIEL R RETZER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

DANIEL R

Last Name

RETZER

Suffix

Business Name

DANIEL R RETZER MD

Original Issue Date

12/28/1984

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023