DANIEL STEVEN MARLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

STEVEN

Last Name

MARLEY

Suffix

Business Name

DANIEL STEVEN MARLEY MD

Original Issue Date

08/04/2005

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023