JEROME WILBORN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

JEROME

Last Name

WILBORN

Business Name

JEROME WILBORN MD

Original Issue Date

10/05/2020

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

HAMILTON

State

Zip

62341

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023