JONATHAN T LOCKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

JONATHAN T

Last Name

LOCKE

Suffix

Business Name

JONATHAN T LOCKE MD

Original Issue Date

03/14/2022

Effective Date

09/30/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2023