MICHAEL JUDE MAYNARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142051

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JUDE

Last Name

MAYNARD

Business Name

MICHAEL JUDE MAYNARD MD

Original Issue Date

12/02/2016

Effective Date

12/02/2016

Expiration Date

07/31/2017

City

NEW YORK

State

Zip

10021

Ever Disciplined

LastModifiedDate

01/09/2018