THOMAS J WHITTLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

THOMAS J

Last Name

WHITTLE

Suffix

Business Name

THOMAS J WHITTLE MD

Original Issue Date

06/21/1990

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023