JONATHAN ROBERT ERNST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067605

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

ROBERT

Last Name

ERNST

Business Name

JONATHAN ROBERT ERNST MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018