JESSICA DANIELLE MADDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

DANIELLE

Last Name

MADDEN

Business Name

JESSICA DANIELLE MADDEN MD

Original Issue Date

03/26/2012

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017