KEVIN MICHAEL THOMAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

MICHAEL

Last Name

THOMAS

Business Name

KEVIN MICHAEL THOMAS MD

Original Issue Date

05/05/2010

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017