THOMAS E BLEASDALE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

BLEASDALE

Business Name

THOMAS E BLEASDALE

Original Issue Date

09/17/2001

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023