MICHAEL R WHITFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

MICHAEL R

Last Name

WHITFORD

Suffix

Business Name

MICHAEL R WHITFORD MD

Original Issue Date

10/29/1992

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

METAMORA

State

Zip

61548

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023