JEFFREY STEPHEN EARHART MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052789

License Status

EXPIRED

Business

Title

First Name

JEFFREY

Middle

STEPHEN

Last Name

EARHART

Business Name

JEFFREY STEPHEN EARHART MD

Original Issue Date

06/18/2010

Effective Date

06/18/2010

Expiration Date

06/17/2012

City

ROCKFORD

State

Zip

61107

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/29/2012