CHERRY BIN MAXIMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

CHERRY

Middle

BIN

Last Name

MAXIMO

Suffix

Business Name

CHERRY BIN MAXIMO MD

Original Issue Date

10/29/2009

Effective Date

10/29/2009

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020