JEFFREY STEPHEN EARHART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133335

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

STEPHEN

Last Name

EARHART

Business Name

JEFFREY STEPHEN EARHART MD

Original Issue Date

06/18/2013

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/26/2023