THOMAS R SCAGGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

SCAGGS

Suffix

Business Name

THOMAS R SCAGGS MD

Original Issue Date

12/19/2011

Effective Date

12/19/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020