DAN DAN LI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

DAN DAN

Last Name

Business Name

DAN DAN LI MD

Original Issue Date

02/24/2014

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021