PAUL RAMON MAYNARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

RAMON

Last Name

MAYNARD

Suffix

Business Name

PAUL RAMON MAYNARD MD

Original Issue Date

04/03/2000

Effective Date

04/03/2000

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011