DANIEL K PIPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

DANIEL K

Last Name

PIPER

Suffix

Business Name

DANIEL K PIPER MD

Original Issue Date

08/20/1984

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020