THOMAS L MCKIERNAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

THOMAS L

Last Name

MCKIERNAN

Suffix

Business Name

THOMAS L MCKIERNAN MD

Original Issue Date

07/25/1984

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023