MARVIN DWIGHT MAXWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025760

License Status

EXPIRED

Business

First Name

MARVIN DWIGHT

Last Name

MAXWELL

Suffix

Business Name

MARVIN DWIGHT MAXWELL MD

Original Issue Date

06/27/1990

Effective Date

06/27/1990

Expiration Date

06/30/1993

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006