THOMAS C TROTTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

THOMAS C

Last Name

TROTTA

Business Name

THOMAS C TROTTA

Original Issue Date

02/24/1982

Effective Date

02/24/1982

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006