DANIEL DAVID PRIEBE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****90

NOT RENEWED

N

DANIEL DAVID

PRIEBE

DO

DANIEL DAVID PRIEBE DO

09/12/1994

09/12/1994

07/31/2002

PRINCETON

IL

61356

BUREAU

II III IV V

N

10/09/2006