KURTIS ALEXANDER MAYZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

KURTIS

Middle

ALEXANDER

Last Name

MAYZ

Business Name

KURTIS ALEXANDER MAYZ MD

Original Issue Date

04/29/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023