J RICHARD THISTLETHWAITE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

J RICHARD

Last Name

THISTLETHWAITE JR

Suffix

Business Name

J RICHARD THISTLETHWAITE JR MD

Original Issue Date

09/20/1984

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017