STEWART MAYNARD ABBOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

STEWART

Middle

MAYNARD

Last Name

ABBOT

Business Name

STEWART MAYNARD ABBOT MD

Original Issue Date

10/23/2018

Effective Date

10/23/2018

Expiration Date

09/30/2020

City

GREELEY

State

Zip

80631

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021