JULIA MARIE MAYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102745

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

MARIE

Last Name

MAYER

Suffix

Business Name

JULIA MARIE MAYER MD

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

07/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006