JARO MAYDA II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JARO

Last Name

MAYDA II

Suffix

Business Name

JARO MAYDA II MD

Original Issue Date

05/19/1986

Effective Date

05/19/1986

Expiration Date

07/31/1990

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

09/26/2006