JONATHAN T LOCKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JONATHAN T

Last Name

LOCKE

Suffix

Business Name

JONATHAN T LOCKE MD

Original Issue Date

05/04/1995

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

01/14/2021