LORIN DIXON WHITTAKER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039379

License Status

NOT RENEWED

Business

First Name

LORIN DIXON

Last Name

WHITTAKER JR

Suffix

Business Name

LORIN DIXON WHITTAKER JR MD

Original Issue Date

08/17/1964

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023