JAMES THOMAS DANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

THOMAS

Last Name

DANE

Suffix

Business Name

JAMES THOMAS DANE MD

Original Issue Date

07/29/2004

Effective Date

07/29/2004

Expiration Date

07/31/2005

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006