CLYDE WHITING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

CLYDE

Last Name

WHITING

Business Name

CLYDE WHITING MD

Original Issue Date

01/10/2012

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60628

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021