TOM DAVIS STANLEY 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

TOM

Middle

DAVIS

Last Name

STANLEY

Suffix

Business Name

TOM DAVIS STANLEY MD

Original Issue Date

05/02/2012

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023