JON B WHITEHURST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

WHITEHURST

Suffix

Business Name

JON B WHITEHURST MD

Original Issue Date

10/22/2007

Effective Date

06/03/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023