ROBERT JULIUSZ MAYDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

JULIUSZ

Last Name

MAYDELL

Business Name

ROBERT JULIUSZ MAYDELL MD

Original Issue Date

01/11/2012

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017