JOHN C MAYBERRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026450

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

MAYBERRY

Business Name

JOHN C MAYBERRY

Original Issue Date

05/06/1991

Effective Date

05/06/1991

Expiration Date

06/30/1993

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006