THOMAS C MACCAUGHELTY 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 C

Last Name

MACCAUGHELTY

Suffix

Business Name

THOMAS C MACCAUGHELTY MD

Original Issue Date

01/05/1994

Effective Date

01/05/1994

Expiration Date

07/31/1996

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006