JONATHAN L WILFORD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059430

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

Last Name

WILFORD

Business Name

JONATHAN L WILFORD DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015