DAVID J GREATHOUSE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

GREATHOUSE

Suffix

Business Name

DAVID J GREATHOUSE DO

Original Issue Date

03/17/1989

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017