MICHELLE MARIE MAUREAU DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

MARIE

Last Name

MAUREAU

Business Name

MICHELLE MARIE MAUREAU DO

Original Issue Date

10/09/2015

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021