DANIEL C MAYLEBEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

DANIEL C

Last Name

MAYLEBEN

Suffix

Business Name

DANIEL C MAYLEBEN MD

Original Issue Date

02/19/1991

Effective Date

02/19/1991

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006