DAVID MICHAEL WHITEHEAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

WHITEHEAD

Business Name

DAVID MICHAEL WHITEHEAD MD

Original Issue Date

08/17/2017

Effective Date

08/17/2017

Expiration Date

09/30/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021