ETHAN THOMAS NETHERY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086230

License Status

ACTIVE

Business

Title

First Name

ETHAN

Middle

THOMAS

Last Name

NETHERY

Business Name

ETHAN THOMAS NETHERY MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

06/04/2025