MICHAEL R WHITFORD 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

First Name

MICHAEL R

Last Name

WHITFORD

Suffix

Business Name

MICHAEL R WHITFORD MD

Original Issue Date

04/15/2002

Effective Date

04/15/2002

Expiration Date

07/31/2005

City

LACON

State

Zip

61540

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020