JOHN S BOYDSTUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

JOHN S

Last Name

BOYDSTUN

Suffix

Business Name

JOHN S BOYDSTUN MD

Original Issue Date

04/08/1988

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023