JULIE MARIE MCDANIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

JULIE

Middle

MARIE

Last Name

MCDANIEL

Business Name

JULIE MARIE MCDANIEL MD

Original Issue Date

11/03/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

SAINT CLOUD

State

Zip

56301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023