JODI RACHELLE MAYFIELD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

JODI

Middle

RACHELLE

Last Name

MAYFIELD

Business Name

JODI RACHELLE MAYFIELD

Original Issue Date

04/13/2011

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/17/2014