THOMAS BONNER LONGABAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

THOMAS BONNER

Last Name

LONGABAUGH

Suffix

Business Name

THOMAS BONNER LONGABAUGH MD

Original Issue Date

01/01/1997

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014