MICHAEL R WHITFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025560

License Status

EXPIRED

Business

First Name

MICHAEL R

Last Name

WHITFORD

Suffix

Business Name

MICHAEL R WHITFORD MD

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/30/1993

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006