License holder summary

Daniel Lee Icenogle is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Daniel Lee Icenogle is 57563 Riley Road, Readstown, WI 54652. This doctor license is current. The license was granted 01/11/2014 and expired on 04/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Daniel Lee Icenogle
Medical - Physician And Surgeon
License number
57413
Date granted
01/11/2014
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
57563 Riley Road, Readstown, WI 54652
doctorsminnesota.org
ID 22226895
LAST UPDATED 2024-05-11 23:10:51 UTC

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