MAXINE B INGHAM 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

MAXINE B

Last Name

INGHAM

Suffix

Business Name

MAXINE B INGHAM MD

Original Issue Date

09/23/1982

Effective Date

09/23/1982

Expiration Date

07/31/1987

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006