PATRICK J WITHROW MD 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

First Name

PATRICK J

Last Name

WITHROW

Suffix

Business Name

PATRICK J WITHROW MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008