THOMAS W MOFFATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

MOFFATT

Suffix

Business Name

THOMAS W MOFFATT MD

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

09/01/1982

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006