THOMAS R SCALES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

SCALES

Suffix

Business Name

THOMAS R SCALES MD

Original Issue Date

07/12/2000

Effective Date

07/12/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

10/09/2006