RENAN MAPUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095799

License Status

ACTIVE

Business

First Name

RENAN

Last Name

MAPUE

Suffix

Business Name

RENAN MAPUE MD

Original Issue Date

06/25/1997

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

06/24/2023

Case Number

2006000596

Action

Summary Suspension

Discipline Start Date

06/20/2006

Discipline End Date

12/24/2007