THOMAS DAVID MIALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

THOMAS DAVID

Last Name

MIALE

Suffix

Business Name

THOMAS DAVID MIALE MD

Original Issue Date

07/01/1983

Effective Date

07/01/1983

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020