THOMAS DALTON HODGKISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

DALTON

Last Name

HODGKISS

Business Name

THOMAS DALTON HODGKISS MD

Original Issue Date

07/25/2016

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021