JOHNEL TREMAINE MAYBERRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067204

License Status

EXPIRED

Business

Title

First Name

JOHNEL

Middle

TREMAINE

Last Name

MAYBERRY

Business Name

JOHNEL TREMAINE MAYBERRY MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016