JEFFREY S POULTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084126

License Status

ACTIVE

Business

First Name

JEFFREY S

Last Name

POULTER

Suffix

Business Name

JEFFREY S POULTER MD

Original Issue Date

03/26/1992

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/03/2023