MARK JAMES THOMPSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

First Name

MARK

Middle

JAMES

Last Name

THOMPSON

Suffix

Business Name

MARK JAMES THOMPSON MD

Original Issue Date

06/25/1998

Effective Date

06/25/1998

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020