JEFFREY T MAUDLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JEFFREY T

Last Name

MAUDLIN

Suffix

Business Name

JEFFREY T MAUDLIN MD

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

07/31/1987

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006