THOMAS ALBERT AMBROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

ALBERT

Last Name

AMBROSE

Business Name

THOMAS ALBERT AMBROSE MD

Original Issue Date

12/02/2024

Effective Date

12/02/2024

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/02/2024