THOMAS BENDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Last Name

BENDER

Business Name

THOMAS BENDER MD

Original Issue Date

05/21/2021

Effective Date

05/21/2021

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023