DESMOND THOMAS WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

DESMOND THOMAS

Last Name

WHITE

Suffix

Business Name

DESMOND THOMAS WHITE MD

Original Issue Date

05/12/1987

Effective Date

05/12/1987

Expiration Date

07/31/1990

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020