THOMAS E STURDAVANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

STURDAVANT

Suffix

Business Name

THOMAS E STURDAVANT MD

Original Issue Date

02/03/2000

Effective Date

02/03/2000

Expiration Date

07/31/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006