RICHARD LOUIS MAENZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

LOUIS

Last Name

MAENZA

Business Name

RICHARD LOUIS MAENZA MD

Original Issue Date

02/05/2015

Effective Date

02/05/2015

Expiration Date

07/31/2017

City

CANTON

State

Zip

44718

County

OHIO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020