THOMAS ROBERT STALEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

ROBERT

Last Name

STALEY

Business Name

THOMAS ROBERT STALEY MD

Original Issue Date

03/21/2018

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

COAL VALLEY

State

Zip

61240

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023