RONALD PETER DANIS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

PETER

Last Name

DANIS

Suffix

JR MD

Business Name

RONALD PETER DANIS JR MD

Original Issue Date

06/27/2003

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

STEPHENSON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021