DANIEL WAYNE HAMPTON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

WAYNE

Last Name

HAMPTON

Suffix

Business Name

DANIEL WAYNE HAMPTON DO

Original Issue Date

07/17/2007

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014