JOHN C MAYNARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

MAYNARD

Suffix

Business Name

JOHN C MAYNARD MD

Original Issue Date

06/18/2004

Effective Date

08/05/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2023