JONATHAN ROGER GARST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070669

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

ROGER

Last Name

GARST

Business Name

JONATHAN ROGER GARST MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

10/30/2024