JULIA MARIE MAYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

MARIE

Last Name

MAYER

Suffix

Business Name

JULIA MARIE MAYER MD

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

07/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006