THOMAS W HIGGINBOTHAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

HIGGINBOTHAM

Suffix

Business Name

THOMAS W HIGGINBOTHAM DO

Original Issue Date

01/24/1986

Effective Date

01/24/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006