RENEE MARIE MADDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

RENEE

Middle

MARIE

Last Name

MADDEN

Business Name

RENEE MARIE MADDEN MD

Original Issue Date

07/30/2012

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017