THOMAS POLL VANBRUGGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

THOMAS POLL

Last Name

VANBRUGGEN

Suffix

Business Name

THOMAS POLL VANBRUGGEN MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006