CLYDE WHITING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

CLYDE

Last Name

WHITING

Business Name

CLYDE WHITING MD

Original Issue Date

09/05/2017

Effective Date

09/05/2017

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021