DANIEL ILFREY LINCOLN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ILFREY

Last Name

LINCOLN

Business Name

DANIEL ILFREY LINCOLN MD

Original Issue Date

03/24/2023

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

97239

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023