JAMES P MAUCK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JAMES P

Last Name

MAUCK JR

Suffix

Business Name

JAMES P MAUCK JR MD

Original Issue Date

08/24/1984

Effective Date

08/24/1984

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006