TOM J BREFELD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

TOM

Middle

Last Name

BREFELD

Business Name

TOM J BREFELD

Original Issue Date

07/05/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CALEDONIA

State

Zip

61011

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023