ELSA JANE WHITMORE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059604

License Status

CANCELLED

Business

Title

First Name

ELSA

Middle

JANE

Last Name

WHITMORE

Business Name

ELSA JANE WHITMORE DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/24/2014