AMANDA LYNN BETHEL WHALEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

LYNN BETHEL

Last Name

WHALEY

Business Name

AMANDA LYNN BETHEL WHALEY DO

Original Issue Date

03/03/2017

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021