DANIEL J O MEARA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

O MEARA

Business Name

DANIEL J O MEARA

Original Issue Date

08/09/2002

Effective Date

08/09/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006