JONATHON WORTH WHITE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060525

License Status

CANCELLED

Business

Title

First Name

JONATHON

Middle

WORTH

Last Name

WHITE

Business Name

JONATHON WORTH WHITE DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/27/2011