DANIEL R HERDEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

DANIEL R

Last Name

HERDEMAN

Suffix

Business Name

DANIEL R HERDEMAN MD

Original Issue Date

08/17/1990

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023