JESSICA L WHITE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

JESSICA

Middle

Last Name

WHITE

Business Name

JESSICA L WHITE MD

Original Issue Date

06/11/2012

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

MINONK

State

Zip

61760

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023