JOHN CARL DANNENFELDT 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

First Name

JOHN CARL

Last Name

DANNENFELDT

Suffix

Business Name

JOHN CARL DANNENFELDT MD

Original Issue Date

03/22/1994

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

EAST MOLINE

State

Zip

61244

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023