AMANDA LYNN BETHEL WHALEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142568

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

LYNN BETHEL

Last Name

WHALEY

Business Name

AMANDA LYNN BETHEL WHALEY DO

Original Issue Date

03/03/2017

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

CHARLESTON

State

Zip

25314

Ever Disciplined

LastModifiedDate

01/14/2021