RENAN MAPUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

RENAN

Last Name

MAPUE

Suffix

Business Name

RENAN MAPUE MD

Original Issue Date

06/29/1997

Effective Date

06/29/1997

Expiration Date

07/31/2005

City

CARROLLTON

State

Zip

62016

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020