CANDACE MARIE THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

CANDACE

Middle

MARIE

Last Name

THOMPSON

Business Name

CANDACE MARIE THOMPSON MD

Original Issue Date

02/24/2017

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

TENNESSEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021