JOHN LOUIS WHITEHEAD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

LOUIS

Last Name

WHITEHEAD

Business Name

JOHN LOUIS WHITEHEAD DO

Original Issue Date

10/28/2010

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014