KOHL MAYBERRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156105

License Status

ACTIVE

Business

Title

First Name

KOHL

Last Name

MAYBERRY

Business Name

KOHL MAYBERRY DO

Original Issue Date

03/17/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2023