JOANNE MEREDITH MAYBERRY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075108

License Status

CANCELLED

Business

Title

First Name

JOANNE

Middle

MEREDITH

Last Name

MAYBERRY

Business Name

JOANNE MEREDITH MAYBERRY DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/02/2019