MARIS FAYE MCINTYRE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

MARIS

Middle

FAYE

Last Name

MCINTYRE

Suffix

Business Name

MARIS FAYE MCINTYRE DO

Original Issue Date

05/04/2010

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023