ANASTACIA B MALDONADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

ANASTACIA

Middle

Last Name

MALDONADO

Suffix

Business Name

ANASTACIA B MALDONADO MD

Original Issue Date

09/15/2006

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014