JONATHAN RADKOFF EK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

RADKOFF

Last Name

Suffix

Business Name

JONATHAN RADKOFF EK MD

Original Issue Date

01/30/2004

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023