DANIEL EDUARDO URCUYO LLANES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

EDUARDO

Last Name

URCUYO LLANES

Business Name

DANIEL EDUARDO URCUYO LLANES MD

Original Issue Date

10/25/2017

Effective Date

10/25/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021