M JEFFREY MADOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

Middle

JEFFREY

Last Name

MADOR

Business Name

M JEFFREY MADOR

Original Issue Date

02/11/2008

Effective Date

02/11/2008

Expiration Date

07/31/2008

City

HILLSBORO

State

Zip

62949

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

11/06/2008