THOMAS J STAFF Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

STAFF

Business Name

THOMAS J STAFF

Original Issue Date

03/07/2000

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014