ROGER HENRI MAILLEFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

HENRI

Last Name

MAILLEFER

Suffix

Business Name

ROGER HENRI MAILLEFER MD

Original Issue Date

09/21/1998

Effective Date

08/20/2020

Expiration Date

07/31/2023

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023