DANIEL STEPHEN DUICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

DANIEL STEPHEN

Last Name

DUICK

Suffix

Business Name

DANIEL STEPHEN DUICK MD

Original Issue Date

09/16/1996

Effective Date

09/16/1996

Expiration Date

07/31/1999

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006