JEFFREY C DANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JEFFREY C

Last Name

DANN

Business Name

JEFFREY C DANN

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006