DANIEL JEEJAE ANSBRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

JEEJAE

Last Name

ANSBRO

Business Name

DANIEL JEEJAE ANSBRO MD

Original Issue Date

05/30/2024

Effective Date

05/30/2024

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026