MICAH THOMPSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

MICAH

Last Name

THOMPSON

Business Name

MICAH THOMPSON MD

Original Issue Date

12/22/2022

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

PARIS

State

Zip

61944

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023