STEVEN RICHARD WHEALON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062115

License Status

EXPIRED

Business

Title

First Name

STEVEN

Middle

RICHARD

Last Name

WHEALON

Business Name

STEVEN RICHARD WHEALON MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CENTRALIA

State

Zip

62801

County

CLINTON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018