CHRISTOPHER SCOTT MAYBERRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

SCOTT

Last Name

MAYBERRY

Business Name

CHRISTOPHER SCOTT MAYBERRY

Original Issue Date

12/10/2003

Effective Date

12/10/2003

Expiration Date

03/01/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006