JOSHUA SEAN CHISHOLM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

JOSHUA

Middle

SEAN

Last Name

CHISHOLM

Business Name

JOSHUA SEAN CHISHOLM DO

Original Issue Date

05/13/2021

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023