MARY JO MCCOY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

MCCOY

Suffix

Business Name

MARY JO MCCOY MD

Original Issue Date

09/10/1990

Effective Date

09/10/1990

Expiration Date

07/31/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006