RENAN MAPUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

RENAN

Last Name

MAPUE

Suffix

Business Name

RENAN MAPUE MD

Original Issue Date

08/11/2005

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CARROLLTON

State

Zip

62016

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023

Case Number

2006000596

Action

Summary Suspension

Discipline Start Date

06/20/2006

Discipline End Date

12/24/2007