DANIEL PETER MONTEMAYOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

PETER

Last Name

MONTEMAYOR

Business Name

DANIEL PETER MONTEMAYOR MD

Original Issue Date

08/29/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023