DANIEL MARK SCHELLENBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

MARK

Last Name

SCHELLENBERG

Business Name

DANIEL MARK SCHELLENBERG

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006