MARTIN JAY MAASSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

MARTIN

Middle

JAY

Last Name

MAASSEN

Business Name

MARTIN JAY MAASSEN MD

Original Issue Date

10/16/2012

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021