JOANNE MEREDITH MAYBERRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

JOANNE

Middle

MEREDITH

Last Name

MAYBERRY

Business Name

JOANNE MEREDITH MAYBERRY DO

Original Issue Date

07/01/2022

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023