JOHANNA B WHALEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094959

License Status

INACTIVE

Business

First Name

JOHANNA B

Last Name

WHALEN

Suffix

Business Name

JOHANNA B WHALEN MD

Original Issue Date

03/05/1997

Effective Date

03/05/1997

Expiration Date

07/31/2002

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006