DANIEL L SYVERSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004040

License Status

ACTIVE

Business

First Name

DANIEL L

Last Name

SYVERSON

Suffix

DPM

Business Name

DANIEL L SYVERSON DPM

Original Issue Date

09/08/1986

Effective Date

01/30/2025

Expiration Date

01/31/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/26/2025