DAVID THOMAS DALY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

THOMAS

Last Name

DALY

Suffix

Business Name

DAVID THOMAS DALY MD

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006