DANIEL RICHARD LYGRISSE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

RICHARD

Last Name

LYGRISSE

Business Name

DANIEL RICHARD LYGRISSE DO

Original Issue Date

07/25/2019

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023