SANFORD M THAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

SANFORD M

Last Name

THAL

Suffix

Business Name

SANFORD M THAL MD

Original Issue Date

06/10/1986

Effective Date

06/10/1986

Expiration Date

07/31/1999

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020