ZACHARY STEPHEN DANIELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

ZACHARY

Middle

STEPHEN

Last Name

DANIELS

Business Name

ZACHARY STEPHEN DANIELS MD

Original Issue Date

04/11/2017

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46205

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021