TIMOTHY RYAN WHITEHEAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132985

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

RYAN

Last Name

WHITEHEAD

Business Name

TIMOTHY RYAN WHITEHEAD MD

Original Issue Date

05/15/2013

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/21/2023