JOSHUA JERRELLE OLIVER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

JOSHUA

Middle

JERRELLE

Last Name

OLIVER

Business Name

JOSHUA JERRELLE OLIVER

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2025