JEREMY L THORNEWILL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

JEREMY

Middle

Last Name

THORNEWILL

Business Name

JEREMY L THORNEWILL

Original Issue Date

12/20/2001

Effective Date

12/20/2001

Expiration Date

07/31/2002

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006