MAYLENE CLAIRE PERALTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102791

License Status

NOT RENEWED

Business

First Name

MAYLENE

Middle

CLAIRE

Last Name

PERALTA

Suffix

Business Name

MAYLENE CLAIRE PERALTA MD

Original Issue Date

06/22/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CALAIS

State

Zip

04619

County

MAINE

Ever Disciplined

LastModifiedDate

11/06/2008