MICHAEL RAYMOND DANTZER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

MICHAEL RAYMOND

Last Name

DANTZER

Suffix

Business Name

MICHAEL RAYMOND DANTZER MD

Original Issue Date

06/12/1992

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

YORKVILLE

State

Zip

60560

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023