JOSHUA BRADLEY KENTOSH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

JOSHUA

Middle

BRADLEY

Last Name

KENTOSH

Business Name

JOSHUA BRADLEY KENTOSH DO

Original Issue Date

02/21/2017

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/29/2024