JAMES Y MAMONE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

JAMES Y

Last Name

MAMONE

Business Name

JAMES Y MAMONE

Original Issue Date

07/25/1995

Effective Date

07/25/1995

Expiration Date

07/31/1999

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006