JUSTIN KEITH THORPE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080018

License Status

CANCELLED

Business

First Name

JUSTIN

Middle

KEITH

Last Name

THORPE

Suffix

Business Name

JUSTIN KEITH THORPE MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/17/2025