JOHN ROBERT DANIELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053267

License Status

NOT RENEWED

Business

First Name

JOHN ROBERT

Last Name

DANIELSON

Suffix

Business Name

JOHN ROBERT DANIELSON MD

Original Issue Date

08/19/1976

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014