THOMAS FREDERICK BYRD IV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

FREDERICK

Last Name

BYRD

Suffix

Business Name

THOMAS FREDERICK BYRD IV MD

Original Issue Date

03/15/2019

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023