ELIZABETH W MAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149953

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

Last Name

MAYNE

Business Name

ELIZABETH W MAYNE MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

09/30/2020

City

STANFORD

State

Zip

94305

Ever Disciplined

LastModifiedDate

01/14/2021