JASON JAMIER BETHEA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149344

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

JAMIER

Last Name

BETHEA

Business Name

JASON JAMIER BETHEA MD

Original Issue Date

05/16/2019

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023