TODD CHRISTIAN DANIELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136402

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

CHRISTIAN

Last Name

DANIELLO

Business Name

TODD CHRISTIAN DANIELLO MD

Original Issue Date

09/04/2014

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

POTTSTOWN

State

Zip

19465

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2022005826

Action

Suspension

Discipline Start Date

09/26/2022

Discipline End Date

01/30/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/31/2023.