MARY L APPLEBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

APPLEBAUM

Suffix

Business Name

MARY L APPLEBAUM MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1987

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006