DOUGLAS CRAIG MAIBENCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

CRAIG

Last Name

MAIBENCO

Suffix

Business Name

DOUGLAS CRAIG MAIBENCO MD

Original Issue Date

08/21/1998

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023