C JONATHAN DAVID FOSTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

C JONATHAN

Middle

DAVID

Last Name

FOSTER

Business Name

C JONATHAN DAVID FOSTER DO

Original Issue Date

04/12/2018

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MOUNT LAUREL

State

Zip

08054

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023