DANIEL GERARD SPOMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

GERARD

Last Name

SPOMAR

Suffix

Business Name

DANIEL GERARD SPOMAR MD

Original Issue Date

01/11/2007

Effective Date

01/11/2007

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011