DANIEL J NIEBRUGGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

Last Name

NIEBRUGGE

Business Name

DANIEL J NIEBRUGGE MD

Original Issue Date

02/16/2005

Effective Date

06/03/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023