LOUIS DALE MAHUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038239

License Status

NOT RENEWED

Business

First Name

LOUIS DALE

Last Name

MAHUE

Suffix

Business Name

LOUIS DALE MAHUE MD

Original Issue Date

12/05/1962

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017