THOMAS M PROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

PROSE

Suffix

Business Name

THOMAS M PROSE MD

Original Issue Date

12/14/2000

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023