TIMOTHY RYAN WHITEHEAD MD 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

TIMOTHY

Middle

RYAN

Last Name

WHITEHEAD

Business Name

TIMOTHY RYAN WHITEHEAD MD

Original Issue Date

05/15/2013

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023