THOMAS L C COTTRELL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

L C

Last Name

COTTRELL

Suffix

JR MD

Business Name

THOMAS L C COTTRELL JR MD

Original Issue Date

11/16/1982

Effective Date

11/16/1982

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020