DANIEL ELIAS ELIZONDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ELIAS

Last Name

ELIZONDO

Business Name

DANIEL ELIAS ELIZONDO MD

Original Issue Date

07/19/2022

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023