KEITH D THOMAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

THOMAS

Suffix

Business Name

KEITH D THOMAS MD

Original Issue Date

08/22/1995

Effective Date

08/22/1995

Expiration Date

07/31/2008

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011