THOMAS LOWELL SHOAF 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

Middle

LOWELL

Last Name

SHOAF

Suffix

Business Name

THOMAS LOWELL SHOAF MD

Original Issue Date

05/21/2001

Effective Date

05/21/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006