PRASAD THOMAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

PRASAD

Last Name

THOMAS

Suffix

Business Name

PRASAD THOMAS MD

Original Issue Date

09/21/1987

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023