License Directory

William Frederick Southworth Md

Expired

Illinois license 036060822

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036060822
Status
Expired (Not Renewed)
First issued
August 29, 1980
Expired
July 31, 2014
License holder
William Frederick Southworth
Entity type
Individual

Classifications

More from the license record

Current term began
08/10/2011

Other Illinois licenses under this name

  • IL
    William Frederick Southworth Md
    License 33*****86 · William Frederick Southworth
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Ladue, MO
    Expired Jul 31, 2014

Contact

Farmington, MO 63640
Missouri County