JASON PAUL GUTHRIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046076

License Status

EXPIRED

Business

First Name

JASON

Middle

PAUL

Last Name

GUTHRIE

Suffix

Business Name

JASON PAUL GUTHRIE MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006