JONATHAN STEPHAN MCGLOTHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

STEPHAN

Last Name

MCGLOTHAN

Suffix

Business Name

JONATHAN STEPHAN MCGLOTHAN MD

Original Issue Date

08/06/2008

Effective Date

09/09/2020

Expiration Date

07/31/2023

City

FLOSSMOOR

State

Zip

60422

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023