JOAN MARIE COVAULT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

JOAN

Middle

MARIE

Last Name

COVAULT

Business Name

JOAN MARIE COVAULT

Original Issue Date

06/08/2006

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021