DANIEL JUSTIN GIVENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

JUSTIN

Last Name

GIVENS

Business Name

DANIEL JUSTIN GIVENS MD

Original Issue Date

02/05/2015

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023