TERRILL APPLEWHITE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

TERRILL

Last Name

APPLEWHITE

Business Name

TERRILL APPLEWHITE

Original Issue Date

01/18/2005

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023