ABIGAIL SUZANNE MAZE WHITE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

ABIGAIL

Middle

SUZANNE MAZE

Last Name

WHITE

Business Name

ABIGAIL SUZANNE MAZE WHITE MD

Original Issue Date

07/17/2015

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023