DANIEL C DEEM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

DEEM

Business Name

DANIEL C DEEM

Original Issue Date

04/01/2014

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023