THOMAS R SCAGGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084057

License Status

ACTIVE

Business

First Name

THOMAS R

Last Name

SCAGGS

Suffix

Business Name

THOMAS R SCAGGS MD

Original Issue Date

03/05/1992

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/08/2024