SERENE ANTOINETTE BETHUNE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

SERENE

Middle

ANTOINETTE

Last Name

BETHUNE

Business Name

SERENE ANTOINETTE BETHUNE DO

Original Issue Date

10/23/2018

Effective Date

10/12/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/12/2023