CAREN L DANIELS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

CAREN

Middle

Last Name

DANIELS

Suffix

Business Name

CAREN L DANIELS MD

Original Issue Date

09/27/2000

Effective Date

09/27/2000

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006