LARRY T MAHONEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

MAHONEY

Suffix

Business Name

LARRY T MAHONEY MD

Original Issue Date

06/12/2007

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014