JONATHAN MILTON TEW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048709

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

MILTON

Last Name

TEW

Suffix

Business Name

JONATHAN MILTON TEW MD

Original Issue Date

07/09/2004

Effective Date

07/09/2004

Expiration Date

07/08/2007

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/25/2007