PATRICIA W WHITWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081240

License Status

NOT RENEWED

Business

First Name

PATRICIA W

Last Name

WHITWORTH

Suffix

Business Name

PATRICIA W WHITWORTH MD

Original Issue Date

08/04/1990

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021