MAUREEN MEGAN D'ANGELO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

MAUREEN

Middle

MEGAN

Last Name

D'ANGELO

Business Name

MAUREEN MEGAN D'ANGELO MD

Original Issue Date

08/04/2016

Effective Date

08/04/2016

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020